Individual
LYNDZEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
204 10TH AVE S, NAMPA, ID 83651-3832
(208) 466-2229
Mailing address
204 10TH AVE S, NAMPA, ID 83651-3832
(208) 466-2229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34976
ID
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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