Individual
MRS. TAMARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW, MSSW
Contact information
Practice address
257 CONGER DR, MESQUITE, TX 75149-2558
(214) 535-8736
Mailing address
257 CONGER DR, MESQUITE, TX 75149-2558
(214) 535-8736
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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