Individual
JULIUS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(337) 523-0238
Mailing address
608 PENICK ST, PINEVILLE, LA 71360-5247
(337) 523-0238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
LA
Enumeration date
08/01/2022
Last updated
08/01/2022
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