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Individual

DEBORAH R. JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9933 W HAYES ST, NATIONAL CENTER FOR TELEHEALTH & TECHNOLOGY, JBLM, TACOMA, WA 98431-0001
(210) 563-4667
Mailing address
9933 W HAYES ST, NATIONAL CENTER FOR TELEHEALTH & TECHNOLOGY, JBLM, TACOMA, WA 98431-0001
(210) 563-4667

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004541
VA

Other

Enumeration date
11/29/2006
Last updated
07/06/2010
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