SHANNON KAY JOHNSON

IDAHO FALLS, ID
NPI1760924799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LMSW-36196)
Enumeration Date2016-11-08
Last Update Date2016-11-08
Business Address
-- SHANNON KAY JOHNSON LMSW
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
Mailing Address
-- SHANNON KAY JOHNSON LMSW
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140