Individual
MRS. BREANNA JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA CADC
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50402-1338
(641) 424-2391
(641) 424-0783
Mailing address
PO BOX 1338, 320 N EISENHOWER AVE, MASON CITY, IA 50402-1338
(641) 424-2391
(641) 424-0783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107714
IA
Other
Enumeration date
09/05/2013
Last updated
02/27/2024
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