Individual
EDITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18750 N 6750 E, MT PLEASANT, UT 84647-2309
(435) 462-5491
Mailing address
619 N 500 W, PROVO, UT 84601-1547
(801) 375-4240
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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