KELLY JOHNSON

HILL AFB, UT
NPI1194107912
Former NameKELLY KASARDA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  089.0114986)
Enumeration Date2015-06-29
Last Update Date2019-01-31
Business Address
KELLY JOHNSON
75 MDG, MENTAL HEALTH CLINIC 7309 BALMER STREET, BLDG 545
HILL AFB, UT 84056
Phone number: 801-777-7909
Mailing Address
KELLY JOHNSON
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Phone number: 850-283-7511