Individual
MRS. TRACI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5607 W 75TH TER, PRAIRIE VILLAGE, KS 66208-4517
(913) 957-0623
Mailing address
5607 W 75TH TER, PRAIRIE VILLAGE, KS 66208-4517
(913) 957-0623
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
9167156576
KS
104100000X
Social Worker
Primary
7918
KS
Other
Enumeration date
01/09/2020
Last updated
10/16/2023
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