Individual
LOUISE H JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
768 E 2730 N, PROVO, UT 84604-4051
(801) 374-1163
(801) 356-8259
Mailing address
768 E 2730 N, PROVO, UT 84604-4051
(801) 374-1163
(801) 356-8259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125189-3501
UT
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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