Individual
CYNTHIA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19047 N DALE MABRY HWY, LUTZ, FL 33548-4982
(303) 807-7547
Mailing address
19047 N DALE MABRY HWY, LUTZ, FL 33548-4982
(303) 807-7547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.09927368
CO
1041C0700X
Clinical Social Worker
Primary
SW17356
FL
Other
Enumeration date
07/02/2020
Last updated
12/10/2024
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