Individual
MS. ELIZABETH GAIL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-6107
Mailing address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-6107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14818
WI
1041C0700X
Clinical Social Worker
Primary
7275
WI
Other
Enumeration date
02/27/2007
Last updated
04/23/2015
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