Individual
KEIRSTEN ANNE JOHNSON-ROATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3910 CLARKS CREEK RD, PLAINFIELD, IN 46168-1947
(317) 750-1177
(317) 839-8363
Mailing address
521 ELM DR, PLAINFIELD, IN 46168-2113
(317) 750-1177
(317) 839-8363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004017A
IN
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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