Individual
MS. ANGEL LYNNETT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1006 E 40TH AVE # 0C, GRIFFITH, IN 46319-1866
(219) 302-3749
Mailing address
1006 E 40TH AVE # 0C, GRIFFITH, IN 46319-1866
(219) 302-3749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020266
IL
1041C0700X
Clinical Social Worker
34008385A
IN
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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