Individual
MS. LASONJA RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
101 W BROADWAY FL 2, WAUKESHA, WI 53186-4833
(414) 731-5059
Mailing address
8821 W DALLAS ST, MILWAUKEE, WI 53224-4867
(414) 731-5059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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