Individual
JAMIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N 16TH ST, SUITE 250, PHOENIX, AZ 85016-5347
(602) 248-9247
(602) 224-8893
Mailing address
4201 N 16TH ST, SUITE 250, PHOENIX, AZ 85016-5347
(602) 248-9247
(602) 224-8893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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