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Individual

JACQUETTA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3358 S 2ND ST STE A-C, CABOT, AR 72023-7873
(501) 286-6053
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10406-M
AR

Other

Enumeration date
12/09/2014
Last updated
04/28/2025
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