Individual
STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 SUNSHINE LN, PIKEVILLE, KY 41501-3115
(606) 478-8500
(606) 478-8505
Mailing address
PO BOX 197, IVEL, KY 41642-0197
(606) 478-8500
(606) 478-8505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2016
Last updated
01/09/2016
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