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Contact Information

MARY M JOHNSON, LCSWA
6614 SHALLOWFORD RD. SUITE 250
LEWISVILLE, NC27023
 Phone: 336-945-0137
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MARY M JOHNSON · (Female)

NPI Number 1578106845
Status Active
Credentials LCSWA
Entity Individual
Enumeration date 10/19/2019
Last updated 10/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NC License # P013190
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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