Individual
ALYSSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
977A TAYLOR ST SW, CONYERS, GA 30012-5357
(678) 209-2655
Mailing address
841 TWIN OAKS DR APT 1, DECATUR, GA 30030-4050
(678) 372-1034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007360
GA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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