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Individual

AUDRIANNA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Mailing address
2201 BROADWAY ST APT 404, PADUCAH, KY 42001-7153

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/06/2018
Last updated
09/06/2018
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