Kizmet Johnson

NPI #1356900146 in Mabelvale, Arkansas

Provider Information

NPI Number: 1356900146
Entity Type: Individual
Name: Kizmet Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 6, 2019
Last Updated: Jun 6, 2019

Practice Location

Address: 10600 TRAIN STATION DR
City: Mabelvale
State: Arkansas
ZIP Code: 72103-1644
Phone: (501) 753-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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