Individual
KIMBERLY MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 NW 141ST ST, EDMOND, OK 73013-1959
(405) 487-9706
Mailing address
808 NW 141ST ST, EDMOND, OK 73013-1959
(405) 487-9706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
01/02/2014
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