Individual
MS. MELANIE ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
522 BELVEDERE DR, SUITE 104, KOKOMO, IN 46901-5627
(765) 457-4253
Mailing address
522 BELVEDERE DR, SUITE 104, KOKOMO, IN 46901-5627
(765) 457-4253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004095A
IN
Other
Enumeration date
11/10/2005
Last updated
08/08/2013
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