Individual
JUANITA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(706) 270-5003
Mailing address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(706) 270-5003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
12/01/2015
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