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Individual

MARIAH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
221 THIRD AVE, SEWARD, AK 99664-1467
(907) 224-3118
(907) 224-5874
Mailing address
PO BOX 1467, SEWARD, AK 99664-1467
(907) 224-3118
(907) 224-5874

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/19/2011
Last updated
11/19/2011
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