BLAKE JEFFREY JOHNSON

CEDAR RAPIDS, IA
NPI1396393021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: IA  096592)
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
BLAKE JEFFREY JOHNSON LMSW
5400 KIRKWOOD BLVD SW
CEDAR RAPIDS, IA 52404-5216
Phone number: 319-364-0259
Mailing Address
BLAKE JEFFREY JOHNSON LMSW
5400 KIRKWOOD BLVD SW
CEDAR RAPIDS, IA 52404-5216
Phone number: