Individual
MRS. JADA N JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
409 TYLER HOLMES DR, WINONA, MS 38967-1521
(662) 283-4114
(662) 283-1157
Mailing address
409 TYLER HOLMES DR, WINONA, MS 38967-1521
(662) 283-4114
(662) 283-1157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6770
MS
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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