Individual
YVONNE SIMMONS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 STONE ST, JONESBORO, AR 72401-4520
(870) 972-1268
Mailing address
4504 SUMMIT RIDGE DR, JONESBORO, AR 72404-9103
(870) 219-2548
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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