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Individual

ANGELA DIANE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW,CSW

Contact information

Practice address
411 E CHESTNUT ST # STREET1, LOUISVILLE, KY 40202-1713
(502) 588-3440
(502) 588-3441
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5448
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2901
KY

Other

Enumeration date
04/09/2008
Last updated
01/19/2021
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