Individual
FREDA KENYATTA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
(407) 599-1472
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
(407) 599-1472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW4037
FL
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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