Most Relevant Information
Provider Data
| NPI Number: | 1003394602 |
| Provider Name: | SCOTT ALLISON JOHNSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 8895-C |
Most Important Dates
| Enumeration Date: | 08/06/2018 |
| Last Updated: | 02/08/2024 |
Provider Practice Location
1012 E CHURCH ST STE B
WARREN
AR
716713530
Practice Location Phone/Fax
| Phone: | 8702266754 |
| Fax: |
Provider Mailing Location
PO BOX 509
DERMOTT
AR
716380509
Provider Mailing Phone/Fax
| Phone: | 8705385414 |
| Fax: | 8705385412 |