Individual
MRS. VALLENTHIA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2195 IRONWOOD CT, COEUR D ALENE, ID 83814-2624
(208) 769-1406
(208) 769-1430
Mailing address
901 W DAVIDSON AVE, COEUR D ALENE, ID 83814-4945
(208) 640-6503
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37825
ID
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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