MS. Emily Nicole-Sparks Johnson, MSW, LCSW

NPI #1750718540 in Travis Afb, California

Provider Information

NPI Number: 1750718540
Entity Type: Individual
Name: MS. Emily Nicole-Sparks Johnson, MSW, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW, LCSW
Enumeration Date: Oct 11, 2013
Last Updated: Dec 21, 2023

Practice Location

Address: 103 BODIN CIR BLDG 778
City: Travis Afb
State: California
ZIP Code: 94535-1801
Phone: (707) 437-1934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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