Individual
MRS. MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 MARIA LN, IUKA, MS 38852
(662) 423-3332
Mailing address
P. O. BOX 1290, IUKA, MS 38852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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