Individual
TAKANDRA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2525 ONEAL LN APT 305, BATON ROUGE, LA 70816-3412
(337) 351-1561
(337) 351-1561
Mailing address
8700 MILLICENT WAY APT 605, SHREVEPORT, LA 71115-2254
(337) 351-1561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12289
LA
Other
Enumeration date
12/04/2017
Last updated
09/20/2023
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