Individual
SARAH LYNN OLMEDO-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 SAINT ANN AVE, BILOXI, MS 39531-3416
(228) 261-3645
Mailing address
1612 SAINT ANN AVE, BILOXI, MS 39531-3416
(228) 261-3645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116727
NY
104100000X
Social Worker
4945G
AL
104100000X
Social Worker
M8998
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8998
MISSISSIPPI BOARD OF EXAMINERS FOR SOCIAL WORKERS AND FAMILY&MARRIAGE THERAPISTS
MS
Enumeration date
07/19/2022
Last updated
08/08/2024
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