Mary Elizabeth Johnson, LCSW

NPI #1679202758 in Ammon, Idaho

Provider Information

NPI Number: 1679202758
Entity Type: Individual
Name: Mary Elizabeth Johnson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jun 6, 2022
Last Updated: Jan 21, 2025

Practice Location

Address: 1329 AMMON PARK DR
City: Ammon
State: Idaho
ZIP Code: 83406-4591
Phone: (208) 403-0135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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