Individual
JODI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 571-5812
Mailing address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 571-5812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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