Most Relevant Information
Provider Data
| NPI Number: | 1003404237 |
| Provider Name: | ALEXAN TAYLOR JOHNSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | ISW14412 |
Most Important Dates
| Enumeration Date: | 01/04/2021 |
| Last Updated: | 11/01/2022 |
Provider Practice Location
10000 BAY PINES BLVD
BAY PINES
FL
337448200
Practice Location Phone/Fax
| Phone: | 7273986661 |
| Fax: |
Provider Mailing Location
13521 INDIAN OAKS TRL
LARGO
FL
337742451
Provider Mailing Phone/Fax
| Phone: | 8507664741 |
| Fax: |