Individual
MRS. SHANTRESS MONIQUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 3 BOX 28, CUTHBERT, GA 39840-9617
(229) 310-3125
Mailing address
RR 3 BOX 28, CUTHBERT, GA 39840-9617
(229) 310-3125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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