Individual
DARRYL KEITH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1000 MAIN ST, LITTLE ROCK, AR 72202-3820
(501) 257-4499
Mailing address
619 S OAK ST, LITTLE ROCK, AR 72205-5628
(501) 247-2938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4506-C
AR
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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