Individual
JERRI LEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3118
Mailing address
1585 3RD STREET, FORT POLK, LA 71459
(337) 531-3272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8301
LA
Other
Enumeration date
11/24/2008
Last updated
01/30/2025
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