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NPI Code Detail

MEDICARE: CARA JOHNSON LSW

MEDICARE:   CARA  JOHNSON  LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.1600142OH
2104100000XSocial WorkerOH

General Provider Information

NPI Number : 1528583309
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA JOHNSON LSW
Provider Business Mailing Address
First Line : 1 AURORA L GONZALEZ DR
Second Line :
City : TOLEDO
State : OH
Zip : 43609-2783
Country : US
Telephone Number : 419-340-7879
Fax Number :
Provider Business Practice Location Address
First Line : 1 AURORA L GONZALEZ DR
Second Line :
City : TOLEDO
State : OH
Zip : 43609-2783
Country : US
Telephone Number : 419-340-7879
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2017
Last Update Date : 11/02/2023

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Directions to “ CARA JOHNSON LSW” Practice Location

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