Most Relevant Information
Provider Data
| NPI Number: | 1003651829 |
| Provider Name: | KAYLA JOHNSON LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
411 N ALLUMBAUGH ST
BOISE
ID
837049210
Practice Location Phone/Fax
| Phone: | 2083763200 |
| Fax: |
Provider Mailing Location
411 N ALLUMBAUGH ST
BOISE
ID
837049210
Provider Mailing Phone/Fax
| Phone: | 2083763200 |
| Fax: |