Individual
HEATHER L JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2420 N COLISEUM BLVD, SUITE 201, FORT WAYNE, IN 46805-3139
(260) 498-8009
(260) 498-8009
Mailing address
2420 N COLISEUM BLVD, SUITE 201, FORT WAYNE, IN 46805-3139
(260) 498-8009
(260) 498-8009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004652A
IN
Other
Enumeration date
03/22/2012
Last updated
09/01/2015
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