Individual
SHARONICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1817 W GORE BLVD, LAWTON, OK 73501-3614
(580) 357-3857
Mailing address
1817 W GORE BLVD, LAWTON, OK 73501-3614
(580) 357-3857
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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