MR. Mark Johnson, LISW

NPI #1548489339 in Beachwood, Ohio

Provider Information

NPI Number: 1548489339
Entity Type: Individual
Name: MR. Mark Johnson, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 24200 CHAGRIN BLVD
Address 2: THE OFFICE PLACE
City: Beachwood
State: Ohio
ZIP Code: 44122-5550
Phone: (216) 831-6466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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