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Individual

CYNTHIA MAY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
555 N WOODLAWN ST STE 3105, WICHITA, KS 67208-3673
(316) 685-1821
(316) 685-0768
Mailing address
4916 E WILLOW POINT CT, BEL AIRE, KS 67220-1755

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW05525
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201237110A
KS
Enumeration date
04/09/2019
Last updated
04/08/2024
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