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Individual

JENNIFER LASHALL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMSW

Contact information

Practice address
156 UNIVERSITY PKWY, AIKEN, SC 29801-5314
(706) 791-1683
Mailing address
1215 KENDAL CT, AUGUSTA, GA 30907-4760
(706) 447-4995

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5666
TN

Other

Enumeration date
02/26/2007
Last updated
07/08/2007
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