Individual
MR. ADELRAS DUANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7107 W 12TH ST STE 201, LITTLE ROCK, AR 72204-2451
(501) 663-1837
Mailing address
1221 RESERVOIR RD APT 177, LITTLE ROCK, AR 72227-5724
(501) 749-7676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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