Individual
MRS. MARIANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 N MAIN ST, LOGAN, UT 84341-2217
(435) 753-7053
Mailing address
1115 N MAIN ST, LOGAN, UT 84341-2217
(435) 753-7053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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