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Individual

BRIAN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED

Contact information

Practice address
4717 MIDDLESEX DRIVE, 4717 MIDDLESEX DRIVE, LOUISVILLE, KY 40245
(541) 913-1212
Mailing address
4717 MIDDLESEX DR, LOUISVILLE, KY 40245-6442
(541) 913-1212

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/14/2014
Last updated
05/14/2014
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