MISS Candi Renae Johnson

NPI #1700224144 in Mc Kee, Kentucky

Provider Information

NPI Number
1700224144
Entity Type
Individual
Name
MISS Candi Renae Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Jun 7, 2013
Last Updated
Jun 7, 2013

Practice Location

Address
87 TWIN OAK PL
City
Mc Kee
ZIP Code
40447-7190
Phone
(606) 493-6176

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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