Individual
SHURELL R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754
(317) 860-3949
(317) 926-1507
Mailing address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754
(317) 860-3949
(317) 926-1507
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004155A
IN
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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