Individual
CORINNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2480 S MAIN ST, SALT LAKE CITY, UT 84115-3058
(801) 485-3772
Mailing address
1600 E WOOD GLEN RD, SANDY, UT 84092-4314
(801) 915-0152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3465373501
UT
1041S0200X
School Social Worker
DOPL
UT
Other
Enumeration date
03/23/2006
Last updated
05/16/2022
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