Individual
KAYLEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5801 WASHINGTON AVE STE 201C, MOUNT PLEASANT, WI 53406-4057
(262) 909-5674
Mailing address
5801 WASHINGTON AVE STE 201C, MOUNT PLEASANT, WI 53406-4057
(262) 909-5674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9664-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821655184
—
WI
Enumeration date
05/22/2019
Last updated
05/06/2022
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