Individual
MRS. KIMBERLY DIANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
88 ALPINE RIDGE LN, BENNINGTON, KS 67422-9070
(281) 682-4123
Mailing address
88 ALPINE RIDGE LN, BENNINGTON, KS 67422-9070
(281) 682-4123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06394
KS
Other
Enumeration date
06/16/2006
Last updated
01/28/2025
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