Jacqueline Johnson

NPI #1821219130 in Bethel, Alaska

Provider Information

NPI Number: 1821219130
Entity Type: Individual
Name: Jacqueline Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 2, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 829 CHIEF EDDIE HOFFMAN HWY
City: Bethel
State: Alaska
ZIP Code: 99559
Phone: (907) 543-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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