Individual
JAMES CORYE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
116 SOUTH ST, WATERLOO, IA 50701-1510
(319) 830-1610
Mailing address
116 SOUTH ST, WATERLOO, IA 50701-1510
(319) 830-1610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072343
IA
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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