Individual
MS. BERDIE E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8055
Mailing address
P.O. BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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