Individual
HEATHER JANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
234 SW ECKMAN ST, MCMINNVILLE, OR 97128-5752
(503) 883-9001
Mailing address
234 SW ECKMAN ST, MCMINNVILLE, OR 97128-5752
(503) 883-9001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5235
OR
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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