MRS. Amanda Beth Johnson

NPI #1356695225 in Durant, Oklahoma

Provider Information

NPI Number
1356695225
Entity Type
Individual
Name
MRS. Amanda Beth Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Oct 31, 2012
Last Updated
Oct 31, 2012

Practice Location

Address
1926 W ELM ST
City
Durant
ZIP Code
74701-3430
Phone
(580) 931-3509

Specialties & Taxonomy Codes

Specialty
Counselor

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