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Individual

REBECCA L JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
533 E TRACKSTAND LN, GARDEN CITY, ID 83714-1614
(208) 860-5696
Mailing address
533 E TRACKSTAND LN, GARDEN CITY, ID 83714-1614
(208) 860-5696

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-34117
ID

Other

Enumeration date
10/16/2018
Last updated
11/22/2021
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