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Individual

MICHAEL SCOTT JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW-T

Contact information

Practice address
4118 W SAN JUAN AVE, PHOENIX, AZ 85019-2008
(602) 860-5069
Mailing address
4118 W SAN JUAN AVE, PHOENIX, AZ 85019-2008

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-08264T
AZ

Other

Enumeration date
07/17/2025
Last updated
07/17/2025
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