Individual
MR. SANDY RAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4110 HIGHWAY 31 SOUTH, DECATUR, AL 35601
(256) 355-6105
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0862C
AL
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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