Individual
DIANE BREAUX JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, RSW
Contact information
Practice address
3420 KABEL DR, NEW ORLEANS, LA 70131-6926
(504) 394-5937
Mailing address
545 FOXWOOD LN, LA PLACE, LA 70068-8101
(504) 450-1722
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9533
LA
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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