Individual
KENDRA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
(304) 485-9203
Mailing address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
(304) 485-9203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
453901
WV
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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