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Individual

MRS. NANCY G. JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW SAC

Contact information

Practice address
305 COUNTY RD. K, BLANCHARDVILLE, WI 53516
(608) 295-6432
Mailing address
305 COUNTY RD. K, BLANCHARDVILLE, WI 53516
(608) 295-6432

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
125-131
WI
1041C0700X
Clinical Social Worker
Primary
7310-123
WI

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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