Individual
PAULA ANN JOHNSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
(602) 449-0032
Mailing address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17053
AZ
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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