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Individual

AMANDA JUNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7000
(630) 570-5779
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05985
KS
1041C0700X
Clinical Social Worker
34004889A
IN

Other

Enumeration date
11/23/2005
Last updated
07/11/2023
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