Mark J. Johnson
Clinical Social Worker in Puyallup, WA(View on Map)
Full Name
Mark J Johnson
NPI Number
1518111442
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/05/2008
Specialties
(Taxonomies)Licenses
State
Washington
License Number
LW60041382
Contact
Information
Purpose
Mailing
Location
Address
325 E PIONEER AVE
325 E PIONEER AVE
City
Puyallup
Puyallup
State
WA
WA
Postal Code
98372-3265
98372-3265
Country
US
US
Telephone Number
(253) 697-8548
(253) 697-8548
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/05/2008