Individual
MS. SHELLEY RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-9339
Mailing address
36 WHITTINGTON DR, PINEVILLE, LA 71360-4277
(318) 640-7172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4908
LA
Other
Enumeration date
12/29/2007
Last updated
12/29/2007
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