Individual
KIMBERLEY CELESTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 ELM AVE, UPPER DARBY, PA 19082-2124
(610) 246-7543
(484) 461-1901
Mailing address
525 ELM AVE, UPPER DARBY, PA 19082-2124
(610) 246-7543
(484) 461-1901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012567
PA
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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