MR. Clyde Johnson, LCSW
NPI #1568767317 in New Castle, Indiana
Provider Information
- NPI Number
- 1568767317
- Entity Type
- Individual
- Name
- MR. Clyde Johnson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 25, 2011
- Last Updated
- Sep 20, 2012
Practice Location
- Address
- 930 N 14TH ST
- City
- New Castle
- State
- Indiana
- ZIP Code
- 47362-4311
- Phone
- (765) 288-1928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
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