Individual
MS. SUSAN DIANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
103 N 5TH ST E, RIVERTON, WY 82501-4402
(307) 463-0890
(307) 463-0891
Mailing address
103 N 5TH ST E, RIVERTON, WY 82501-4402
(307) 463-0890
(307) 463-0891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-689
WY
Other
Enumeration date
03/19/2007
Last updated
07/21/2022
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