Individual
MS. HEIDI MAREE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
3701 EASTERN AVE, BALTIMORE, MD 21224-4208
(410) 558-4900
(410) 732-7000
Mailing address
6541 SPECKER AVE, FORT CARSON, CO 80913-4263
(719) 526-7876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13826
MD
Other
Enumeration date
04/01/2009
Last updated
03/04/2021
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