Individual
MRS. LISA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 N CORONADO DR, SUITE A, SIERRA VISTA, AZ 85635-6358
(520) 459-1529
Mailing address
101 N CORONADO DR, SIERRA VISTA, AZ 85635-6358
(520) 459-1529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 13025
FL
Other
Enumeration date
06/21/2013
Last updated
04/12/2017
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