Individual
ANDRIA LA'MAYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
11409 GREYSTONE AVE, OKLAHOMA CITY, OK 73120-7116
(405) 412-8038
Mailing address
11409 GREYSTONE AVE, OKLAHOMA CITY, OK 73120-7116
(405) 412-8038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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