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Kelly Anne Johnson

Case Manager/Care Coordinator in Lake Charles, LA. Individual provider (NPI-1).

NPI number1124545009
StatusActive
Last updated in NPPESDec 6, 2019

Details

NPI
1124545009
Entity type
Individual (NPI-1)
Name
Kelly Anne Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2017
Last updated
Dec 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1333 Common St
Lake Charles, LA 70601-5255

Phone 337-437-4014

Mailing address

430 Dixie Plz
Natchitoches, LA 71457-5881

Phone 318-357-9009 · Fax 318-357-9008

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