Individual
BRENDA KAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCHW
Contact information
Practice address
1401 S ARCH AVE, ALLIANCE, OH 44601-4202
(330) 596-7591
Mailing address
1401 S ARCH AVE, ALLIANCE, OH 44601-4202
(330) 596-7591
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW000717
OH
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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