Individual
MRS. IMOJEANNE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
450 SAINT JOHN RD, SUITE 501, MICHIGAN CITY, IN 46360-7354
(219) 362-2145
Mailing address
450 SAINT JOHN RD, SUITE 501, MICHIGAN CITY, IN 46360-7354
(219) 362-2145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002084
IN
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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