Individual
KATRINA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, MSW,LCSW
Contact information
Practice address
210 AIRPORT ROAD, SUITE 103, VIROQUA, WI 54665
(608) 638-7420
Mailing address
PO BOX 189, VIROQUA, WI 54665-0189
(608) 638-7420
(608) 638-7429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8131-123
WI
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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