Individual
MELISSA LANNIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 NW NYE ST STE A, PULLMAN, WA 99163-3428
(425) 508-8717
Mailing address
PO BOX 774, PULLMAN, WA 99163-0774
(425) 508-8717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60488573
WA
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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