Individual
KATELYN RUTH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 W OLIVE ST, FORT COLLINS, CO 80521-2716
(970) 310-3406
Mailing address
320 W OLIVE ST, FORT COLLINS, CO 80521-2716
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09924943
CO
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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