Individual
CONSTANCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12561 WARDLINE RD, HAMMOND, LA 70401-6212
(985) 551-5155
(985) 551-5222
Mailing address
44083 SILVER OAK DR, HAMMOND, LA 70403-8545
(985) 634-5907
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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