Individual
SYDNEY THOMAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
763 JESSE JOHNSON DR, BLAKELY, GA 39823-3224
(229) 894-9612
Mailing address
1212 ENTERPRISE RD, COLQUITT, GA 39837-7225
(229) 254-6948
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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