Individual
MRS. JENNIFER LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7530 LUCERNE DR, SUITE 208, CLEVELAND, OH 44130-6587
(440) 239-5950
(440) 239-7445
Mailing address
7530 LUCERNE DR, SUITE 208, CLEVELAND, OH 44130-6587
(440) 239-5950
(440) 239-7445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1000379
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I1000379
STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST BOARD
OH
Enumeration date
12/10/2008
Last updated
05/30/2012
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