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NPI Code Detail

MEDICARE: MRS. KA'MARLA JOHNSON

MEDICARE: MRS. KA'MARLA JOHNSON
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 WorkerNC

General Provider Information

NPI Number : 1023724523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KA'MARLA JOHNSON
Provider Business Mailing Address
First Line : 2488 SAND HILL RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28306-9485
Country : US
Telephone Number : 919-900-7438
Fax Number :
Provider Business Practice Location Address
First Line : 3050 BERKS WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27614-6598
Country : US
Telephone Number : 919-900-7438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2023
Last Update Date : 02/06/2023

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Directions to “ MRS. KA'MARLA JOHNSON ” Practice Location

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