Individual
KRISTIN ANNE JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2872 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
(801) 485-8051
(801) 485-8111
Mailing address
2872 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
(801) 485-8051
(801) 485-8111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CSW
—
UT
Enumeration date
10/11/2018
Last updated
10/11/2018
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