Individual
DIONDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(678) 429-1665
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(678) 429-1665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008777
NC
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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