Individual
HANNAH RACHEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5312 JAGUAR DR, SANTA FE, NM 87507-1827
(505) 820-0262
(505) 820-9220
Mailing address
PO BOX 341, GLORIETA, NM 87535-0341
(505) 757-2422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-05615
NM
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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