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MS. YOLANDA C JOHNSON-MARTIN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1154570521

Individual Registrant:
MS. YOLANDA C JOHNSON-MARTIN LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
304 MAIN ST  CROSSETT, AR 71635 US
Tel: 870-500-2324  Fax: --

Contact information for business:
PO BOX 971  CROSSETT, AR 71635-0971 US
Tel: 870-500-1997  Fax: --

Registration Information:
NPI: 1154570521
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AR6815-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS5CW73AR01
227892719AR05




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