Lisa Johnson, LCSW

NPI #1235771064 in Palm Coast, Florida

Provider Information

NPI Number: 1235771064
Entity Type: Individual
Name: Lisa Johnson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 14, 2019
Last Updated: Oct 14, 2019

Practice Location

Address: 26 PINTO LN
City: Palm Coast
State: Florida
ZIP Code: 32164-7071
Phone: (386) 586-6801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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