Individual
DR. DEZETTE CASSONIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PLCSW
Contact information
Practice address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(704) 919-3542
(704) 919-3543
Mailing address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(704) 919-3542
(704) 919-3543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P005410
NC
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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