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Individual

AMBER DAWN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
17019 N STATE HIGHWAY 5 STE C1, SUNRISE BEACH, MO 65079-7034
(573) 692-2988
Mailing address
14893 HIGHWAY P, GRAVOIS MILLS, MO 65037-3915
(573) 692-2988

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019035250
MO

Other

Enumeration date
07/31/2018
Last updated
07/22/2025
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