Individual
MRS. T LEANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
5201 BISHOPS BLVD S, SUITE B, FARGO, ND 58104-7608
(701) 235-4457
(701) 356-7993
Mailing address
5201 BISHOPS BLVD S, SUITE B, FARGO, ND 58104-7608
(701) 235-4457
(701) 356-7993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3195
ND
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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