Individual
CHERYL E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
3539 E 30TH ST, FARMINGTON, NM 87402-8801
(505) 566-3859
(505) 566-3826
Mailing address
4601 COLLEGE BLVD, FARMINGTON, NM 87402-4609
(505) 566-3859
(505) 566-3826
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B-05517
NM
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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