Individual
MR. SHAWN MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W, C.S.W.
Contact information
Practice address
1898 FORT ROAD, SHERIDAN, WY 82801
(307) 672-3473
Mailing address
56 S. 750 E., AMERICAN FORK, UT 84003
(801) 362-5016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7934327-3502
UT
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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