Individual
MS. KIMBERLY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 372-3034
Mailing address
418 GARLAND ST W, WEST SALEM, WI 54669-1145
(608) 786-0805
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
4167-120
WI
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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