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Individual

STEPHANIE ANN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
4110 WALL ST, MONTGOMERY, AL 36106-2924
(334) 247-3900
(334) 247-3902
Mailing address
PO BOX 240912, MONTGOMERY, AL 36124-0912
(334) 247-3900
(334) 247-3902

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/02/2019
Last updated
12/02/2019
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