Individual
MELODY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 AUDUBON TRCE, JEFFERSON, LA 70121-1554
(337) 298-8691
Mailing address
2401 AUDUBON TRCE, JEFFERSON, LA 70121-1554
(337) 298-8691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10934
LA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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