Individual
AMY B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
1155 N MAYFAIR RD STE 300, MILWAUKEE, WI 53226-3462
(414) 955-8900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129008-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891223368
—
WI
Enumeration date
05/30/2017
Last updated
07/21/2022
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