Individual
MANDEE PANCHERI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
412 1ST AVE W, KALISPELL, MT 59901-4836
(406) 257-0887
Mailing address
96 VISTA LOOP, KALISPELL, MT 59901-2542
(406) 871-0707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2478
MT
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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