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Deidra Johnson, LCP
NPI 1568655637 · on the registry since 2007
Practice
- Address
- 1102 S. Rouse
Pittsburg, KS 66762 - Phone
- (620) 231-5310
- Fax
- (620) 231-9893
- Organisation at this address
- Dccca, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TC2200X
103TC2200X
- Also registered as
- 103TC2200X
103TF0000X - Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas