Individual
DEVENIA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310
Mailing address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1700275
OH
Other
Enumeration date
04/24/2018
Last updated
07/12/2021
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