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DEBRA KAY JOHNSON

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1932777695

Individual Registrant:
 DEBRA KAY JOHNSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
100 E LAUREL AVE  PLENTYWOOD, MT 59254-1644 US
Tel: 406-480-1753  Fax: --

Contact information for business:
517 SUNNYSIDE AVE  PLENTYWOOD, MT 59254-1548 US
Tel: 406-480-1753  Fax: --

Registration Information:
NPI: 1932777695
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
MTBBH-LCSW-LIC-1034

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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