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1942573621
KELLY JOHNSON
GLENDALE, AZ
NPI
1942573621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ 19423)
Enumeration Date
2012-02-11
Last Update Date
2022-06-12
Business Address
Ms. KELLY JOHNSON LCSW
18205 N 51ST AVE STE 109
GLENDALE, AZ 85308-1491
Phone number: 623-396-6216
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Mailing Address
Ms. KELLY JOHNSON LCSW
2527 W KIT CARSON TRL
ANTHEM, AZ 85086-1877
Phone number: 623-396-6216
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