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Individual

ALISON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
11303 S MULINO RD, CANBY, OR 97013
(541) 404-5577
Mailing address
11303 S MULINO RD, CANBY, OR 97013-6727
(541) 404-5577

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
A2801
OR
1041C0700X
Clinical Social Worker
Primary
L6304
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500666178
OR
Enumeration date
12/12/2013
Last updated
02/22/2019
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