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Demertic Shontoe Johnson

Case Manager/Care Coordinator in Helena, AR. Individual provider (NPI-1).

NPI number1982106068
StatusActive
Last updated in NPPESMar 5, 2018

Details

NPI
1982106068
Entity type
Individual (NPI-1)
Name
Demertic Shontoe Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 5, 2018
Last updated
Mar 5, 2018

Taxonomy and licenses

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

Practice location

801 Newman Dr
Helena, AR 72342-8950

Phone 870-338-3900 · Fax 870-338-7798

Mailing address

2707 Browns Ln
Jonesboro, AR 72401-7213

Phone 870-972-4939 · Fax 870-972-4911

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