CHARLES JOHNSON

SALT LAKE CITY, UT
NPI1972896702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5011958-3502)
Enumeration Date2011-05-26
Last Update Date2011-05-26
Business Address
-- CHARLES JOHNSON CSW
740 E 3900 S # 100
SALT LAKE CITY, UT 84107-2181
Phone number: 801-313-0555
Mailing Address
-- CHARLES JOHNSON CSW
3517 W 1500 N
WEST POINT, UT 84015-8354
Phone number: 801-336-6946