Individual
MASIE ANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
172 BELMONT DR, DOTHAN, AL 36305-6504
(334) 449-3300
Mailing address
187 BELMONT DR, DOTHAN, AL 36305-6500
(334) 671-1280
(334) 671-0475
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4911G
AL
Other
Enumeration date
12/06/2021
Last updated
12/09/2021
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