Individual
IESHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8603 CANOPUS PL, LOUISVILLE, KY 40219-4828
(502) 554-1081
Mailing address
8603 CANOPUS PL, LOUISVILLE, KY 40219-4828
(502) 554-1081
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
KY
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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