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Anjuli Shah-Johnson, LCSW

Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).

NPI number1881821189
StatusActive
Last updated in NPPESJan 17, 2024

Details

NPI
1881821189
Entity type
Individual (NPI-1)
Name
Anjuli Shah-Johnson
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 15, 2009
Certification date
Jan 4, 2024
Last updated
Jan 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149012025ILYes

Practice location

5014 Ne 15th Ave
Portland, OR 97211-4406

Phone 773-991-0103

Mailing address

5014 Ne 15th Ave
Portland, OR 97211-4406

Phone 773-991-0103

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