Individual
KIMBERLY PETRAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
137 E MAIN ST, GEORGETOWN, KY 40324-1786
(859) 312-6400
Mailing address
315 N BROADWAY ST, GEORGETOWN, KY 40324-1305
(859) 312-6400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3292
KY
Other
Enumeration date
08/13/2009
Last updated
07/21/2022
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