Individual
MS. JULIE LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
1724 VILLAGE WAY STE B, ORANGE PARK, FL 32073-5225
(904) 654-3275
Mailing address
PO BOX 351198, JACKSONVILLE, FL 32235-1198
(904) 654-3275
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW11790
FL
1041C0700X
Clinical Social Worker
2008012852
MO
1041C0700X
Clinical Social Worker
CSW004330
GA
1041C0700X
Clinical Social Worker
SW11790
FL
Other
Enumeration date
07/30/2012
Last updated
07/01/2025
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