Individual
CHANDRA A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3633 PINE PARK RD, CAIRO, GA 39828-6823
(229) 226-6530
Mailing address
934 N UNIVERSITY DR, PMB 206, CORAL SPRINGS, FL 33071-7029
(954) 885-9500
(954) 885-9444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001803
GA
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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