Individual
MRS. AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7145 S BALBOA CT, GILBERT, AZ 85298-9035
(160) 290-8441
Mailing address
7145 S BALBOA CT, GILBERT, AZ 85298-9035
(160) 290-8441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20163
AZ
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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