Individual
MS. JOHANNA COURTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 NW 7TH ST, FORT LAUDERDALE, FL 33311-7612
(561) 805-0378
(954) 827-0285
Mailing address
2731 NW 26TH AVE, OAKLAND PARK, FL 33311-2019
(561) 805-0378
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651006432
—
FL
Enumeration date
09/06/2017
Last updated
10/20/2020
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