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Individual

ANGELA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
127 EASTGATE DR STE B202, LOS ALAMOS, NM 87544-3300
(801) 860-3457
Mailing address
127 EASTGATE DR STE B202, LOS ALAMOS, NM 87544-3300
(801) 860-3457

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5752697-3501
UT

Other

Enumeration date
04/13/2016
Last updated
03/18/2024
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