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Individual

MS. GENINICE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, LCDC-I

Contact information

Practice address
500 ROLLING HILLS PL APT 1211, LANCASTER, TX 75146-1042
(313) 467-6585
Mailing address
500 ROLLING HILLS PL APT 1211, LANCASTER, TX 75146-1042
(313) 467-6585

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/25/2018
Last updated
06/11/2019
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