Kelly Johnson

NPI #1194107912 in Hill Afb, Utah

Provider Information

NPI Number
1194107912
Entity Type
Individual
Name
Kelly Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jun 29, 2015
Last Updated
Jan 31, 2019

Practice Location

Address
75 MDG, MENTAL HEALTH CLINIC
Address 2
7309 BALMER STREET, BLDG 545
State
Utah
ZIP Code
84056
Phone
(801) 777-7909

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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