SAMUEL CASEY JOHNSON

IUKA, MS
NPI1295431351
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C10465)
Enumeration Date2023-01-31
Last Update Date2023-01-31
Business Address
Mr. SAMUEL CASEY JOHNSON LCSW
805 S PEARL ST
IUKA, MS 38852-1824
Phone number: 662-660-4243
Mailing Address
Mr. SAMUEL CASEY JOHNSON LCSW
805 S PEARL ST
IUKA, MS 38852-1824
Phone number: 662-660-4243