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Individual

KEVIN R. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
652 S MEDICAL CENTER DR STE 340, ST GEORGE, UT 84790-7049
(435) 251-6250
(435) 251-6251
Mailing address
1202 SAINT JAMES LN, ST GEORGE, UT 84790-6743
(435) 225-4357

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5962642-3501
UT

Other

Enumeration date
12/18/2006
Last updated
07/18/2024
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