DEANNA M JOHANNSEN

BOISE, ID
NPI1841524550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-1093)
Enumeration Date2009-09-28
Last Update Date2016-02-24
Business Address
DEANNA M JOHANNSEN LCSW
131 N ALLUMBAUGH ST
BOISE, ID 83704-9204
Phone number: 208-367-2175
Mailing Address
DEANNA M JOHANNSEN LCSW
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-5170
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