Individual
KATERRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(678) 651-3623
Mailing address
PO BOX 373245, DECATUR, GA 30037-3245
(678) 651-3623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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