JEREMIAH JOHNSON

GLENDALE, WI
NPI1669027066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  9262-123)
Enumeration Date2019-08-03
Last Update Date2023-05-06
Business Address
JEREMIAH JOHNSON
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217-4908
Phone number: 715-903-6444
Mailing Address
JEREMIAH JOHNSON
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217-4908
Phone number: 715-903-6444