Individual
DYLEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
401 WHITNEY AVE, GRETNA, LA 70056-2558
(504) 362-9010
Mailing address
928 S CORTEZ ST, NEW ORLEANS, LA 70125-1106
(504) 919-2844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13756
LA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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