Individual
TOMEKA LOUVENIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, CTRS, CARSS
Contact information
Practice address
8848 SWEET FLAG LOOP, SOUTHAVEN, MS 38671-5156
(601) 472-1388
Mailing address
8848 SWEET FLAG LOOP, SOUTHAVEN, MS 38671-5156
(601) 472-1388
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
54600
MS
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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