Individual
MS. JOHANNA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 BAKER WOODS TRL, MARTINEZ, GA 30907-2700
(904) 214-6399
Mailing address
458 BAKER WOODS TRL, MARTINEZ, GA 30907-2700
(904) 214-6399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14451
PR
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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