Individual
JENNIFER D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2148 S BERKELEY ST, SALT LAKE CITY, UT 84109-1113
(801) 699-0500
Mailing address
2148 S BERKELEY ST, SALT LAKE CITY, UT 84109-1113
(801) 699-0500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
273804-3501
UT
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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