Individual
RICHELLE HICKMAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 DUPONT CIR STE 562, LOUISVILLE, KY 40207-4888
(502) 242-9411
Mailing address
1527 HIGHLAND AVE UNIT 4003, LOUISVILLE, KY 40204-4000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5088
KY
1041C0700X
Clinical Social Worker
Primary
3312
KY
Other
Enumeration date
11/01/2007
Last updated
09/19/2018
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