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Individual

MS. KATHRYN ANN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDP, CNA

Contact information

Practice address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 804-8752
Mailing address
7343 18TH AVE NE, SEATTLE, WA 98115-5701
(206) 851-9344

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CP00004359
WA

Other

Enumeration date
12/09/2009
Last updated
12/09/2009
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