Individual
MRS. ALLISON BLAKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(800) 827-1000
Mailing address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(800) 827-1000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1790-M
AR
1041C0700X
Clinical Social Worker
Primary
2570-C
AR
Other
Enumeration date
03/23/2007
Last updated
09/17/2013
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