Individual
SHUVONNE KAYE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LILE CT STE 200, LITTLE ROCK, AR 72205-6240
(501) 663-1837
Mailing address
1 LILE CT STE 200, LITTLE ROCK, AR 72205-6240
(501) 663-1837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2479-M
AR
1041S0200X
School Social Worker
2479-M
AR
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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