Individual
MS. DANA SUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
610 E VISTA ST, BISBEE, AZ 85603-1439
(520) 742-4790
Mailing address
610 E VISTA ST, BISBEE, AZ 85603-1439
(520) 742-4790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 18491
AZ
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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