Most Relevant Information
Provider Data
| NPI Number: | 1003072364 |
| Provider Name: | MICHAEL KENDRICK JOHNSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CSW003882 |
Most Important Dates
| Enumeration Date: | 08/05/2008 |
| Last Updated: | 01/30/2012 |
Provider Practice Location
343 8TH ST NE
#E-2
ATLANTA
GA
303094282
Practice Location Phone/Fax
| Phone: | 6788958412 |
| Fax: | 4048790779 |
Provider Mailing Location
343 8TH ST NE
#E-2
ATLANTA
GA
303094282
Provider Mailing Phone/Fax
| Phone: | 6788958412 |
| Fax: | 4048790779 |