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General NPI Number Information
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NPI Number | 1518628874
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Entity Type | Individual
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Provider Name | DONNA MICHELLE JOHNSON LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 35884 CRAMBLITT LN
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City | BAY MINETTE
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State | AL
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Zip | 36507-8147
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Country | US
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Telephone | 504-994-4846
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Fax |
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Provider Business Mailing Address
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Address Line | 35884 CRAMBLITT LN
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City | BAY MINETTE
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State | AL
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Zip | 36507-8147
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Country | US
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Telephone | 504-994-4846
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC23582
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3523C
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW09931567
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06500000
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9727
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4371153
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License Number State | ID
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 127961
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License Number State | MA
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