Individual
MS. BECKY LOUISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
860 E 4500 S, SUITE 302, SALT LAKE CITY, UT 84107-3002
(801) 494-3128
Mailing address
1365 ALPINE WAY, PROVO, UT 84606-5392
(801) 494-3128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
373569-3501
UT
Other
Enumeration date
08/06/2013
Last updated
10/08/2013
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