Individual
MS. KELLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18205 N 51ST AVE STE 109, GLENDALE, AZ 85308-1491
(623) 396-6216
Mailing address
2527 W KIT CARSON TRL, ANTHEM, AZ 85086-1877
(623) 396-6216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19423
AZ
Other
Enumeration date
02/11/2012
Last updated
06/12/2022
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