Traci Johnson

NPI #1831564251 in Midwest City, Oklahoma

Provider Information

NPI Number
1831564251
Entity Type
Individual
Name
Traci Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Dec 10, 2015
Last Updated
Dec 10, 2015

Practice Location

Address
8811 FAIRFIELD GREENS DR
ZIP Code
73110-8015
Phone
(405) 887-0217

Specialties & Taxonomy Codes

Specialty
Counselor

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