Individual
ADRIENNE MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
(870) 230-8201
Mailing address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
(870) 230-8201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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