Individual
MS. EMILY NICOLE-SPARKS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
103 BODIN CIR BLDG 778, TRAVIS AFB, CA 94535-1801
(707) 437-1934
Mailing address
103 BODIN CIR BLDG 778, TRAVIS AFB, CA 94535-1801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
81731
CA
Other
Enumeration date
10/11/2013
Last updated
12/21/2023
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