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Individual

MR. CARDELL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2744 E 28TH ST N, TULSA, OK 74110-1823
(918) 902-3543
Mailing address
7010 S YALE AVE, TULSA, OK 74136-5713
(918) 492-2554

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041S0200X
School Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/07/2013
Last updated
11/09/2022
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