Individual
MR. DARRELL BRENT JOHNSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1414 N CALIFORNIA ST FL 2, STOCKTON, CA 95202-1515
(209) 468-2377
(209) 468-8024
Mailing address
1414 N CALIFORNIA ST FL 2, STOCKTON, CA 95202-1515
(209) 468-2377
(209) 468-8024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13295
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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