Individual
PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
3051 CAHILL MAIN, FITCHBURG, WI 53711-7109
(608) 661-7200
Mailing address
3051 CAHILL MAIN, GHC, FITCHBURG, WI 53711
(608) 661-7200
(608) 661-7222
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
570
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39248000
—
WI
Enumeration date
07/19/2006
Last updated
02/26/2010
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