Individual
LELAND JAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 WATERSIDE DR, IRVING, TX 75063-4252
(972) 556-2257
Mailing address
321 WATERSIDE DR, IRVING, TX 75063-4252
(972) 556-2257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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