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Individual

BRIANNA NICOLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
111 W JASPER DR, PUEBLO WEST, CO 81007-7542
(303) 907-8304
Mailing address
111 W JASPER DR, PUEBLO WEST, CO 81007-7542
(303) 907-8304

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.00924371
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09924371
CO

Other

Enumeration date
09/03/2015
Last updated
12/21/2023
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