Individual
TANYA LYNETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3601 POLK ST, GARY, IN 46408-1635
(219) 678-7550
Mailing address
3601 POLK ST, GARY, IN 46408-1635
(219) 678-7550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.030443
IL
Other
Enumeration date
01/24/2014
Last updated
11/07/2025
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