Individual
MARJEAN CAROL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 SW MADISON AVE, CORVALLIS, OR 97333-4515
(541) 753-9217
(541) 753-2672
Mailing address
602 SW MADISON AVE, CORVALLIS, OR 97333-4515
(541) 753-9217
(541) 753-2672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3314
OR
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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