Souleika Johnson

NPI #1548873490 in Latta, South Carolina

Provider Information

NPI Number: 1548873490
Entity Type: Individual
Name: Souleika Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Rehabilitation Counselor
Enumeration Date: Aug 28, 2020
Last Updated: Aug 28, 2020

Practice Location

Address: 6231 OLD EBENEZER RD
City: Latta
State: South Carolina
ZIP Code: 29565-5241
Phone: (843) 245-9875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Counselor	225C00000X	Primary

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