Organization
BARRY JOHNSON, MSW, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY JOHNSON LCSW (MANAGER)
(573) 205-1279
Entity
Organization
Contact information
Practice address
202 HAVANA ST, STEELVILLE, MO 65565-5077
(573) 205-1279
Mailing address
202 HAVANA ST, STEELVILLE, MO 65565-5077
(573) 205-1279
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2009032380
MO
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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