Individual
MRS. LISA DIANE SCHULTZ JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
780 S 2000 W STE A105, SYRACUSE, UT 84075-9612
(801) 388-2219
Mailing address
780 S 2000 W STE A105, SYRACUSE, UT 84075-9612
(385) 423-2377
(385) 423-2379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62526283501
UT
1041C0700X
Clinical Social Worker
—
UT
Other
Enumeration date
01/11/2013
Last updated
05/20/2025
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