Individual
BEVELYN JOYCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5401 N 76TH ST, MILWAUKEE, WI 53218-2746
(414) 536-1301
(414) 536-1568
Mailing address
5401 N 76TH ST, MILWAUKEE, WI 53218-2746
(414) 536-1301
(414) 536-1568
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3754-123
WI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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