Individual
RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST, SUITE 100, LA CROSSE, WI 54603-3301
(608) 785-6375
Mailing address
W2597 DAVIS CREEK RD, MELROSE, WI 54642-8260
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
10470-120
WI
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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