Individual
KIA CASANDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7015 SPRING MDWS W, HOLLAND, OH 43528-9299
(419) 491-1180
Mailing address
5738 BEECHCROFT RD APT L, COLUMBUS, OH 43229-3869
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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