Individual
CHERYL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10000 BAY PINES BLVD., BAY PINES, FL 33744
(727) 398-6661
Mailing address
3901 41ST ST S, ST PETERSBURG, FL 33711-4242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 1337
FL
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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