Individual
HAILEY ELISABETH MCDANIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
12834 OLD U.S. 169, OOLOGAH, OK 74053
(918) 695-2059
Mailing address
12834 OLD U.S. 169, OOLOGAH, OK 74053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12978570-3502
UT
1041C0700X
Clinical Social Worker
Primary
21856
OK
Other
Enumeration date
08/26/2020
Last updated
10/31/2025
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