Individual
BREONNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3812 NC 55 HWY, DURHAM, NC 27713-3009
(910) 610-3181
Mailing address
3812 NC 55 HWY, DURHAM, NC 27713-3009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019035
NC
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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