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Individual

CAITLIN IRENE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
116 TRACY DR, COLUMBIA, MO 65203-2208
(573) 694-8584

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021003121
MO

Other

Enumeration date
02/02/2021
Last updated
02/02/2021
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