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Amanda Johnson

Social Worker in Jackson, MS. Individual provider (NPI-1).

NPI number1851719082
StatusActive
Last updated in NPPESApr 4, 2014

Details

NPI
1851719082
Entity type
Individual (NPI-1)
Name
Amanda Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 4, 2014
Last updated
Apr 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerM7862MSYes

Practice location

1059 Eastview St
Jackson, MS 39203-3119

Phone 601-672-4090

Mailing address

1059 Eastview St
Jackson, MS 39203-3119

Phone 601-672-4090

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