Larry Steven Johnson M.S.W., L.C.S.W.

NPI 1770549768 - Social Worker - 1041C0700X

NPI Details
NPI 1770549768
Gender Male
Enumeration Date 04/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
149 HART ST
82 MEDICAL GROUP/CREDENTIALS
SHEPPARD AFB TX, 76311-3477, US
Phone (940) 676-6075
Fax
Business Location
149 HART ST
82 MEDICAL GROUP/CREDENTIALS
SHEPPARD AFB TX, 76311-3477, US
Phone (940) 676-6075
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number S10361
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According to our database, Mr. Larry Steven Johnson M.S.W., L.C.S.W. NPI is 1770549768, taxonomy code is 1041C0700X and license number is S10361, license state is located at Texas. Larry Steven Johnson M.S.W., L.C.S.W. physically located at 149 Hart St, Sheppard Afb TX, 76311-3477. NPI Number Larry Steven Johnson M.S.W., L.C.S.W. has the Individual type.

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1770549768 NPI number is provided on an as is basis without warranty of any kind. 1770549768 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Steven Johnson M.S.W., L.C.S.W. are for informational purposes only.