Individual
NIA JEREY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
1117 MARION HWY, FARMERVILLE, LA 71241-9313
(318) 368-2300
Mailing address
PO BOX 773, FARMERVILLE, LA 71241-0773
(318) 243-1390
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16424
LA
104100000X
Social Worker
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/06/2021
Last updated
09/19/2023
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