Individual
MS. AMANDA A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 NW ENGLEWOOD RD, SUITE 180, GLADSTONE, MO 64118-4054
(816) 876-9352
Mailing address
10221 N CHERRY DR, APT 10B, KANSAS CITY, MO 64155-2085
(816) 506-9522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010030181
MO
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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