Individual
KENDRA DEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2200 S ORCHARD ST STE 201, BOISE, ID 83705-3713
(208) 830-6598
Mailing address
2200 S ORCHARD ST STE 201, BOISE, ID 83705-3713
(208) 830-6598
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
45225
ID
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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