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Individual

CARISSA LYNN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2315 RUGER AVE, JANESVILLE, WI 53545-2603
(608) 322-8756
Mailing address
2315 RUGER AVE, JANESVILLE, WI 53545-2603
(608) 371-4392

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11058-C
NV
1041C0700X
Clinical Social Worker
Primary
11307
WI
1041C0700X
Clinical Social Worker
I.2405982
OH
1041C0700X
Clinical Social Worker
LC23245
ME
1041C0700X
Clinical Social Worker
LICSW126988
MA

Other

Enumeration date
03/12/2019
Last updated
07/17/2025
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