Individual
JESSICA DUMINIE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
323 W 4TH ST, MISHAWAKA, IN 46544-1913
(574) 256-7006
(574) 256-2266
Mailing address
323 W 4TH ST, MISHAWAKA, IN 46544-1913
(574) 256-7006
(574) 256-2266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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