Individual
MRS. JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7922-123
WI
Other
Enumeration date
04/30/2009
Last updated
09/11/2020
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