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Individual

EMMANUETTE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
15800 PINES BLVD STE 328, PEMBROKE PNES, FL 33027-1212
(305) 707-4240
Mailing address
PO BOX 822021, PEMBROKE PNES, FL 33082-2021
(305) 707-4240

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW17074
FL

Other

Enumeration date
02/13/2017
Last updated
10/21/2020
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