Individual
DEIRDRE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6633
(912) 435-6633
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005969
GA
1041C0700X
Clinical Social Worker
R042803
NY
Other
Enumeration date
08/21/2007
Last updated
12/05/2023
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