Individual
SHELLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7809 AIRLINE DR STE 210, METAIRIE, LA 70003-6440
(504) 731-3100
(504) 731-3103
Mailing address
116 FAY WAY, SLIDELL, LA 70460-3212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5957
LA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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