Individual
ELLEN ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4700 N CONGRESS AVE STE 104, WEST PALM BEACH, FL 33407-3284
(561) 876-6237
Mailing address
311 GULFSTREAM BLVD, BOYNTON BEACH, FL 33435-8636
(651) 402-5220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW21236
FL
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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