Individual
RHONDA MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Mailing address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-40009
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-40009
IDAHO LICENSE
ID
Enumeration date
09/08/2020
Last updated
06/16/2021
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