Individual
COURTNEY D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3402 FRANKLIN RD, CALDWELL, ID 83605-6932
(208) 455-7080
Mailing address
20544 CALHOUN AVE, CALDWELL, ID 83605-6184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-38725
ID
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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