Individual
FELICIA TYSON-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5306 NC HIGHWAY 55, STE 105, DURHAM, NC 27713-7812
(919) 457-1517
(919) 363-7697
Mailing address
5306 NC HIGHWAY 55, STE 105, DURHAM, NC 27713-7812
(919) 457-1517
(919) 363-7697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C009740
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
07/18/2019
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