Individual
KJERSTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 W TALAVI BLVD STE 180, GLENDALE, AZ 85306-1888
(623) 344-7728
Mailing address
9795 W CASHMAN DR, PEORIA, AZ 85383-4173
(801) 616-9002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-19424
AZ
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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