Female

Mandee Pancheri Johnson LCSW

Clinical Social Worker in Kalispell, MT(View on Map)

Full Name

Mandee Pancheri Johnson LCSW

NPI Number

1336559061

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/02/2014

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Montana

License Number

2478

Contact
Information

Purpose

Mailing
Location

Address

96 VISTA LOOP
412 1ST AVE W

City

Kalispell
Kalispell

State

MT
MT

Postal Code

59901-2542
59901-4836

Country

US
US

Telephone Number

(406) 871-0707
(406) 257-0887

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/02/2014

Provider Address

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