Deandra Johnson
Social Worker, Clinical in Charlotte, NC. Individual provider (NPI-1).
NPI number1669953741
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1669953741
- Entity type
- Individual (NPI-1)
- Name
- Deandra Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2018
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P012680 | NC | Yes |
Practice location
4412 Monroe Rd Ste CCharlotte, NC 28205-7749
Phone 704-271-1463
Mailing address
4412 Monroe Rd Ste CCharlotte, NC 28205-7749
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