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Individual

JAIME JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1215 BRIAR LN, WHARTON, TX 77488-4303
(979) 559-1315
Mailing address
1215 BRIAR LN, WHARTON, TX 77488-4303
(979) 559-1315

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
39955
TX

Other

Enumeration date
01/28/2016
Last updated
01/28/2016
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