Individual
PATRICIA COLLETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11075 S STATE ST # 32, SANDY, UT 84070-5164
(801) 782-8787
Mailing address
650 S MAIN ST APT 6308, BOUNTIFUL, UT 84010-6373
(801) 782-8787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10712409-3501
UT
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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