Individual
MRS. JULIA B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3950 CENTRAL AVENUE, MEMPHIS, TN 38111-7602
(901) 458-6291
(901) 323-4848
Mailing address
3950 CENTRAL AVENUE, MEMPHIS, TN 38111-7602
(901) 458-6291
(901) 323-4848
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0000000450
TN
1041C0700X
Clinical Social Worker
Primary
LSW0000000450
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002938
CIGNA
TN
01
—
4026792
TN BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/01/2005
Last updated
02/04/2008
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