Individual
CRISTY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-8262
Mailing address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-8262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10943
FL
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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