Individual
MELISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 457-6703
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 457-6703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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