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Individual

KEYDRA JOHNSON

Active
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Individual

KEYDRA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
103962
NY
104100000X
Social Worker
LG50083757
DC
1041C0700X
Clinical Social Worker
095315
NY
1041C0700X
Clinical Social Worker
Primary
LC200002602
DC

Other

Enumeration date
06/14/2021
Last updated
05/18/2023
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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