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Individual

MS. JANE E JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2238 E GINTER ROAD, SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12, TUSCON, AZ 95706
(520) 545-2137
(520) 545-2120
Mailing address
2238 E GINTER ROAD, SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12, TUSCON, AZ 95706
(520) 545-2137
(520) 545-2120

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW0556
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
583957
AZ
Enumeration date
12/20/2006
Last updated
07/09/2007
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