Individual
SANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 MOUNT ELON CHURCH RD, HOPKINS, SC 29061-8670
(803) 351-0773
Mailing address
719 MOUNT ELON CHURCH RD, HOPKINS, SC 29061-8670
(803) 351-0773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1158
SC
Other
Enumeration date
11/14/2015
Last updated
11/14/2015
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