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Individual
SHARON RENA JOHNSON
Active
Individual
SHARON RENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
49702123501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107025298101
INTERMTN. HEALTH CARE
UT
01
—
827406
BLUE CROSS
UT
01
—
942938348SHA
EDUCATORS MUTUAL
UT
01
—
9429838348
CHAMPUS
UT
Enumeration date
01/10/2006
Last updated
08/14/2012
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