Individual
JOSEF JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 BROOKS ST, CHARLESTON, WV 25301-2903
(304) 766-9669
Mailing address
20 BROOKS ST, CHARLESTON, WV 25301-2903
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
113147
WV
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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