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Organization

PATHWAYS THERAPY, INC

Active
Other names
Holly R Johnson, LCSW
Organization subpart
No

Provider details

NPI number
Authorized official
HOLLY R JOHNSON LCSW (OWNER/DIRECTOR)
(706) 207-7683
Entity
Organization

Contact information

Practice address
1041 OCONEE FOREST LN, WATKINSVILLE, GA 30677-2323
(706) 207-7683
(706) 850-0899
Mailing address
1041 OCONEE FOREST LN, WATKINSVILLE, GA 30677-2323
(706) 207-7683
(706) 850-0899

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003573
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204083042A
GA
Enumeration date
11/23/2007
Last updated
06/30/2008
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