Individual
MARISSA LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 FOX GLOVE CT SE, PORT ORCHARD, WA 98366-1944
(360) 551-3341
Mailing address
265 FOX GLOVE CT SE, PORT ORCHARD, WA 98366-1944
(360) 551-3341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWIA.SC.70095031
WA
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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