Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 S 70TH ST, STE 301, WEST ALLIS, WI 53214
(414) 475-2788
Mailing address
W151N8649 MARSHALL DR, MENOMONEE FALLS, WI 53051-3108
(262) 364-8720
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1456
WI
106H00000X
Marriage & Family Therapist
611-228
WI
Other
Enumeration date
04/25/2019
Last updated
09/15/2022
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