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NPI Code Detail

MEDICARE: MRS. GAIL H JOHNSON LCSW

MEDICARE:  MRS. GAIL H JOHNSON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC0118MS

General Provider Information

NPI Number : 1144380874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GAIL H JOHNSON LCSW
Provider Business Mailing Address
First Line : 1903 PASS ROAD
Second Line : SUITE E
City : BILOXI
State : MS
Zip : 39531
Country : US
Telephone Number : 228-594-9010
Fax Number : 228-594-9012
Provider Business Practice Location Address
First Line : 1903 PASS RD
Second Line : SUITE E
City : BILOXI
State : MS
Zip : 39531-4103
Country : US
Telephone Number : 228-594-9010
Fax Number : 228-594-9012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. GAIL H JOHNSON LCSW” Practice Location

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