Individual
ALICE HASTINGS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
811 MAIN CT, CARBONDALE, CO 81623-1851
(713) 302-0443
Mailing address
811 MAIN CT, CARBONDALE, CO 81623-1851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09929039
CO
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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