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Individual
MISS MACI JOHNSON
Active
Individual
MISS MACI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12836
SC
1041C0700X
Clinical Social Worker
Primary
18715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12836
LMSW
SC
01
—
18715
LISW-CP
SC
Enumeration date
04/14/2021
Last updated
09/29/2026
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