Individual
MS. ANN MCCULLISS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9338 RIVER SHORES LN, JACKSONVILLE, FL 32257-4912
(904) 737-3610
Mailing address
9338 RIVER SHORES LN, JACKSONVILLE, FL 32257-4912
(904) 737-3610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003714
FL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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