Individual
ANDREA MICHELLE CIMBAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 406-7007
Mailing address
6324 DURBAN DR, GALLOWAY, OH 43119-8651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1500399
OH
1041C0700X
Clinical Social Worker
Primary
1901811
OH
Other
Enumeration date
12/06/2017
Last updated
10/10/2019
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