Individual
DILLON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 HIGHWAY VV, KENNETT, MO 63857
(573) 888-5925
Mailing address
875 HIGHWAY VV, KENNETT, MO 63857
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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