Individual
SOULEIKA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6231 OLD EBENEZER RD, LATTA, SC 29565-5241
(843) 245-9875
Mailing address
6231 OLD EBENEZER RD, LATTA, SC 29565-5241
(843) 245-9875
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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