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
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-8015
- Phone
- (405) 887-0217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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