Individual
MRS. HEATHER LEIGH MCDERMOTTJOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1630 S BROAD ST, MOBILE, AL 36605-1806
(251) 405-4743
Mailing address
1206 BARCELONA DR, MOBILE, AL 36693-4403
(251) 656-7630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4227C
AL
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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