Individual
MELANIE LAURA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
4289 GLASCOTT XING, HOOVER, AL 35226-6376
(205) 837-8220
Mailing address
PO BOX 660843, VESTAVIA, AL 35266-0843
(205) 837-8220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1365-3634C
AL
1041C0700X
Clinical Social Worker
3634C
AL
Other
Enumeration date
01/09/2018
Last updated
02/21/2024
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