Individual
LATONYA RUTH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 BROWN ST, BISHOPVILLE, SC 29010-1178
(843) 484-9414
Mailing address
411 E NEW ST, TIMMONSVILLE, SC 29161-1543
(843) 496-3810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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