Kennedi Lisa Gabrielle Johnson

NPI #1043053648 in Thibodaux, Louisiana

Provider Information

NPI Number
1043053648
Entity Type
Individual
Name
Kennedi Lisa Gabrielle Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jun 13, 2024
Last Updated
Jun 20, 2024

Practice Location

Address
2590 HIGHWAY 1
ZIP Code
70301-5843
Phone
(985) 313-1093

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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