Individual
KRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CHURCH STREET, WRANGELL, AK 99929
(907) 874-5000
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
(907) 874-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
67763
TX
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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