MR. Larry Steven Johnson, M.S.W., L.C.S.W.
NPI #1770549768 in Sheppard Afb, Texas
Provider Information
- NPI Number
- 1770549768
- Entity Type
- Individual
- Name
- MR. Larry Steven Johnson, M.S.W., L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- M.S.W., L.C.S.W.
- Enumeration Date
- Apr 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 149 HART ST
- Address 2
- 82 MEDICAL GROUP/CREDENTIALS
- City
- Sheppard Afb
- State
- Texas
- ZIP Code
- 76311-3477
- Phone
- (940) 676-6075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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