Individual
SANDRA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 N SARAH DEWITT DR, GONZALES, TX 78629-3311
(830) 672-7581
(830) 672-8481
Mailing address
1110 N SARAH DEWITT DR, GONZALES, TX 78629-3311
(830) 672-7581
(830) 672-8481
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20446
LMSW
TX
Enumeration date
01/27/2016
Last updated
01/27/2016
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