Individual
RACHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
421 W 128TH ST S, JENKS, OK 74037-4415
(918) 232-4516
Mailing address
421 W 128TH ST S, JENKS, OK 74037-4415
(918) 232-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6342
OK
Other
Enumeration date
09/19/2012
Last updated
12/04/2023
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