Individual
SHEDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 DESOTO ST, OCEAN SPRINGS, MS 39564-3737
(228) 872-8429
(228) 872-0226
Mailing address
904 DESOTO ST, OCEAN SPRINGS, MS 39564-3737
(228) 872-8429
(228) 872-0226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7887
MS
Other
Enumeration date
01/12/2017
Last updated
09/02/2022
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