NPI | 1962683615 |
---|---|
Doing Business As | HOLLY R JOHNSON, LCSW |
Entity Type | Organization |
Authorized Contact | HOLLY R JOHNSON Owner/Director 706-207-7683 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003573) |
Enumeration Date | 2007-11-23 |
Last Update Date | 2008-06-30 |