Individual
MS. INDIA ROSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10613 N HAYDEN RD STE J103, SCOTTSDALE, AZ 85260-5683
(734) 741-3401
Mailing address
3802 E BASELINE RD APT 3102, PHOENIX, AZ 85042-7254
(734) 741-3401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-18186
AZ
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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