Johnson, Moandra
Johnson, Moandra is an individual health care provider with primary practice located at 2037 Weems Rd Apt 6201 , Tucker GA 30084-5263. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Johnson, Moandra can be contacted via phone (240) 883-2624.Contact Information
Primary practice address
2037 Weems Rd Apt 6201
Tucker GA 30084-5263
Phone: (240) 883-2624
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1376140426 |
|---|---|
| LBN Legal business name | Johnson, Moandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2020 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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