TERESA MARIE JOHNSON

LOGANSPORT, IN
NPI1356777627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34006756A)
Enumeration Date2013-09-18
Last Update Date2016-01-13
Business Address
-- TERESA MARIE JOHNSON LCSW
408 NORTH ST
LOGANSPORT, IN 46947-2895
Phone number: 574-753-5540
Mailing Address
-- TERESA MARIE JOHNSON LCSW
800 FULTON ST
LOGANSPORT, IN 46947-1577
Phone number: 574-722-5151