Individual
CAITLYN L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11321 INTERSTATE 30 STE 101, LITTLE ROCK, AR 72209-7064
(501) 812-7518
Mailing address
11321 INTERSTATE 30 STE 101, LITTLE ROCK, AR 72209-7064
(501) 812-7518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7695-M
AR
Other
Enumeration date
07/21/2014
Last updated
07/21/2021
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