Individual
MR. JARED DEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
146 LAKEPOINTE DRIVE, WARNER ROBINS, GA 31088
(325) 262-6110
Mailing address
146 LAKEPOINTE DRIVE, WARNER ROBINS, GA 31088
(325) 262-6110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
59220
TX
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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