Individual
SETH A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
401 N 14TH ST E, RIVERTON, WY 82501-3821
(307) 202-1483
Mailing address
401 N 14TH ST E, RIVERTON, WY 82501-3821
(307) 202-1483
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-539
WY
Other
Enumeration date
04/10/2007
Last updated
11/27/2017
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