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Bridget Johnson, LICSW

Social Worker, Clinical in Tacoma, WA. Individual provider (NPI-1).

NPI number1164044160
StatusActive
Last updated in NPPESJun 12, 2023

Details

NPI
1164044160
Entity type
Individual (NPI-1)
Name
Bridget Johnson
Credential
LICSW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 12, 2020
Certification date
Sep 30, 2021
Last updated
Jun 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical60964103WAYes

Practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Phone 253-968-5046

Mailing address

9040 Jackson Ave
Tacoma, WA 98431-0001

Phone 253-968-5046

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