Individual
MS. DONNA LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
4205 SUGAR PINE DR, BOCA RATON, FL 33487-1103
(561) 997-5372
(561) 241-3018
Mailing address
4205 SUGAR PINE DR, BOCA RATON, FL 33487-1103
(561) 997-5372
(561) 241-3018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW1772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L.C.S.W.
LICENCED CLINICAL SOCIAL
FL
Enumeration date
03/29/2007
Last updated
07/08/2007
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