Individual
PATRICIA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
311 S MAIN ST, MILBANK, SD 57252-1810
(605) 660-0759
Mailing address
PO BOX 386, MILBANK, SD 57252-0386
(605) 660-0759
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1974
SD
1041C0700X
Clinical Social Worker
Primary
1974
SD
Other
Enumeration date
11/03/2005
Last updated
01/05/2023
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