Nicole Johnson
Social Worker, Clinical in Lithonia, GA. Individual provider (NPI-1).
NPI number1477706232
StatusActive
Last updated in NPPESOct 24, 2008
Details
- NPI
- 1477706232
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nicole Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2008
- Last updated
- Oct 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW004045 | GA | Yes |
Other names
- Nicole Johnson Roberson (Other Name)
Practice location
7207 Ravenwood LnLithonia, GA 30038-7520
Phone 973-919-2165
Mailing address
7207 Ravenwood LnLithonia, GA 30038-7520
Phone 973-919-2165
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All 34 Clinical Social Worker providers in Lithonia · All 1,233 providers in Lithonia
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