KELLY JOHNSON
Social Worker - Clinical
Active
Individual
NPI: 1194107912
Practice Address
75 MDG, MENTAL HEALTH CLINIC7309 BALMER STREET, BLDG 545
Hill Afb, UT 84056
Phone: (801) 777-7909
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 089.0114986 (VT) |
Frequently Asked Questions
NPI 1194107912 is the National Provider Identifier for KELLY JOHNSON, a Social Worker - Clinical provider located in Hill Afb, UT. This NPI was enumerated on June 29, 2015.
KELLY JOHNSON practices at 75 MDG, MENTAL HEALTH CLINIC, 7309 BALMER STREET, BLDG 545, Hill Afb, UT 84056.
Quick Facts
- NPI
- 1194107912
- Type
- Individual
- Enumerated
- Jun 29, 2015
- Last Updated
- Jan 31, 2019
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