Individual
MR. MARTIN WUGENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6738
Mailing address
323 MOUNTAIN TERRACE CIRCLE, MAUMELLE, AR 72112
(501) 257-6738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
201-M
AR
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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