Individual
ROSE-ASHLEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5907 LAKEHURST CIR, SHREVEPORT, LA 71108-3758
(318) 401-7771
Mailing address
5907 LAKEHURST CIR, SHREVEPORT, LA 71108-3758
(318) 347-4599
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/24/2016
Last updated
11/21/2023
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