Female

Ms. Susan C. Johnson LCSW

Clinical Social Worker in Port Angeles, WA(View on Map)

Full Name

Ms. Susan Crumley Johnson LCSW

NPI Number

1568880680

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/05/2014

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Kentucky
Washington

License Number

KY-3156
LW60601839

Contact
Information

Purpose

Mailing
Location

Address

430 E LAURIDSEN BLVD
430 E LAURIDSEN BLVD

City

Port Angeles
Port Angeles

State

WA
WA

Postal Code

98362-7978
98362-7978

Country

US
US

Telephone Number

(360) 457-1610
(360) 457-1610

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

Data last updated by provider on 07/18/2022

Provider Address

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