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Individual

MR. ROBERT WAYNE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
245 S 900 W, CEDAR CITY, UT 84720-3042
(435) 559-1756
Mailing address
245 S 900 W, CEDAR CITY, UT 84720-3042
(435) 559-1756

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
264437-3501
UT

Other

Enumeration date
02/18/2010
Last updated
02/18/2010
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