Individual
WHITNEY ILENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCMSW, PLMHP
Contact information
Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-7000
Mailing address
6125 COUNTRY CLUB RD, OMAHA, NE 68152-2019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7721
NE
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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