Individual
GREG JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2010 BRENTWOOD DR, ANDERSON, IN 46011-4042
(765) 393-0063
Mailing address
4586 RAINWATER LN, WHITESTOWN, IN 46075-6225
(317) 617-9046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012838A
IN
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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