Provider Information for 1780930586
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Ms. JULIE LYNN JOHNSON LCSW, ACSW
Sex: Female
NPI: 1780930586
Last Updated: 2018-05-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1780930586 | ||||||||||||||||||||
| Enumeration Date | 2012-07-30 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 9727 TOUCHTON RD APT 1901 JACKSONVILLE, FL 32246-8229 United States Phone: 904-654-3275 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 2021 PROFESSIONAL CENTER DR ORANGE PARK, FL 32073-4461 United States Phone: 904-688-3000 | Fax:904-688-3001 | ||||||||||||||||||||
| Secondary Practice Address(es) | 9727 TOUCHTON RD APT 1901 | ||||||||||||||||||||
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