Individual
MS. BRENDA LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 SW. SHELBY AVENUE, MADISON, FL 32340-2334
(850) 973-0591
Mailing address
308 SW. SHELBY AVENUE, MADISON, FL 32340-2334
(850) 973-0591
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
008047400
FL
Other
Enumeration date
08/09/2013
Last updated
05/11/2026
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