Individual
SHONTALE DENISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 257-4700
Mailing address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 257-4700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
437
AK
1041C0700X
Clinical Social Worker
Primary
119784
AK
Other
Enumeration date
07/12/2013
Last updated
10/15/2020
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