Most Relevant Information
Provider Data
| NPI Number: | 1003207697 |
| Provider Name: | JOVONNA JOHNSON LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 9472 |
Most Important Dates
| Enumeration Date: | 02/18/2015 |
| Last Updated: | 02/18/2015 |
Provider Practice Location
635 N MAIN ST
WICHITA
KS
672033602
Practice Location Phone/Fax
| Phone: | 3166607600 |
| Fax: | 3169415075 |
Provider Mailing Location
350 S BROADWAY ST
WICHITA
KS
672024304
Provider Mailing Phone/Fax
| Phone: | 3166609600 |
| Fax: | 3166609669 |