Individual
COURTNEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
3401 E WEST HWY, HYATTSVILLE, MD 20782-2200
(901) 240-7526
Mailing address
3401 E WEST HWY APT 546, HYATTSVILLE, MD 20782-2383
(901) 240-7526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200003051
DC
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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