Individual
ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 COMMERCIAL CT STE C, VENICE, FL 34292-1655
(941) 485-0121
Mailing address
417 COMMERCIAL CT STE C, VENICE, FL 34292-1655
(941) 485-0121
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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