Individual
MR. JAMES RANDALL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-1212
(931) 815-1221
Mailing address
2407 ALLEN FERRY RD, SMITHVILLE, TN 37166-7218
(615) 597-3322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004199
TN
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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