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BARRY JOHNSON, MSW, LCSW, LLC

Agencies Community/Behavioral Health

Provider NPI: 1811225774

Organization Information:
Organization Name:  BARRY JOHNSON, MSW, LCSW, LLC
Organization is not Subpart
Authorized Official:  BARRY  JOHNSON  MANAGER  573-205-1279

Practice Location:
202 HAVANA ST  STEELVILLE, MO 65565-5077 US
Tel: 573-205-1279  Fax: --

Business Mailing Address:
202 HAVANA ST  STEELVILLE, MO 65565-5077 US
Tel: 573-205-1279  Fax: --

NPI Information:
NPI: 1811225774
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health
MO2009032380

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 251S00000X

Type:

Classification:



Definition:



MEDICAL JOBS MO - Page 1

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