Individual
FELISSA DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9250 GLENWOOD ST, OVERLAND PARK, KS 66212-1365
(913) 952-6696
Mailing address
12175 S BLACKBOB RD APT 212, OLATHE, KS 66062-6919
(202) 316-4444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8719
KS
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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