Individual
MS. EMMA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 N BROADWAY ST, POTEAU, OK 74953-3536
(918) 647-4196
Mailing address
PO BOX 711, POTEAU, OK 74953-0711
(918) 647-4196
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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