Individual
KAREN M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4001 MAIN STREET, SUITE 202, PHILADELPHIA, PA 19127
(215) 290-7440
Mailing address
4215 TERRACE ST, PHILADELPHIA, PA 19128-5015
(215) 290-7440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015548
PA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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