Individual
STEPHANIE SHANTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 GREEN ST APT 218, 218, WOODBRIDGE, NJ 07095-3364
(646) 397-7460
Mailing address
10 GREEN ST APT 218, WOODBRIDGE, NJ 07095-3364
(646) 397-7460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
11/14/2023
Last updated
12/08/2025
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