Individual
RACHEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 SW 28TH ST, APT. 309, ANKENY, IA 50023-7077
(563) 564-1697
Mailing address
1103 SE 28TH ST, #309, ANKENY, IA 50023-7077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
072662
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072662
—
IA
Enumeration date
07/01/2014
Last updated
07/01/2014
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