Individual
MS. LISA ASHELY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
3711 JOHN F KENNEDY PKWY, FORT COLLINS, CO 80525-2620
(970) 430-6589
Mailing address
PO BOX 1211, WELLINGTON, CO 80549-1211
(970) 430-6589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWC.0000001836
CO
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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