Individual
SHIRLEY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 785-6266
Mailing address
23994 LAMPLIGHTER RD, NORWALK, WI 54648-8210
(608) 654-7687
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
531-120
WI
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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