Individual
LYNN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 437-3540
Mailing address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 437-3540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127901-121
WI
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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