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Individual

ELLIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3736 MONTROSE RD, MOUNTAIN BRK, AL 35213-3832
(205) 871-3583
Mailing address
PO BOX 5474, MARYVILLE, TN 37802-5474
(865) 661-4787

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/03/2023
Last updated
04/03/2023
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