Individual
KIMBERLY LANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 FLEMING ROAD, LORETTO, TN 38469
(931) 853-6872
Mailing address
PO BOX 165, LORETTO, TN 38469-0165
(931) 853-6872
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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