Most Relevant Information
Provider Data
| NPI Number: | 1003556127 |
| Provider Name: | UKAWIA TYEWUNN JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 5617G |
Most Important Dates
| Enumeration Date: | 03/29/2022 |
| Last Updated: | 03/29/2022 |
Provider Practice Location
2655 N TALLY CT
MOBILE
AL
366064823
Practice Location Phone/Fax
| Phone: | 2512322847 |
| Fax: |
Provider Mailing Location
2655 N TALLY CT
MOBILE
AL
366064823
Provider Mailing Phone/Fax
| Phone: | 2512322847 |
| Fax: |