Individual
SHANNON K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
723 CENTER ST, WOODLAND PARK, CO 80863-1015
(719) 270-1360
Mailing address
723 CENTER ST, WOODLAND PARK, CO 80863-1015
(719) 270-1360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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