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Warren Elliot Johnson

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

NPI number1164088522
StatusActive
Last updated in NPPESMay 11, 2019

Details

NPI
1164088522
Entity type
Individual (NPI-1)
Name
Warren Elliot Johnson
Sex
Male
Sole proprietor
Yes
Enumeration date
May 11, 2019
Last updated
May 11, 2019

Taxonomy and licenses

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

Practice location

1639 Ryan St
Lake Charles, LA 70601-5948

Phone 337-602-6391 · Fax 337-602-6392

Mailing address

1639 Ryan St
Lake Charles, LA 70601-5948

Phone 337-602-6391 · Fax 337-602-6392

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