Individual
MRS. AUDRIE PAYTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1002 CAMBELL ST., WARNER, OK 74469
(918) 682-7210
(918) 463-2585
Mailing address
2310 W BROADWAY ST., MUSKOGEE, OK 74401
(918) 682-7210
(918) 463-2585
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8628
OK
1041C0700X
Clinical Social Worker
Primary
21044
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/24/2016
Last updated
10/03/2024
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