1154696896

Everything you always wanted to know about MR. JOHNSON WILLIAM CURTIS LCSW but were afraid to ask.

MR. JOHNSON WILLIAM CURTIS LCSW

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MR. JOHNSON WILLIAM CURTIS LCSW
Gender:
Male
Enumeration date:
2012-03-13
Last update date:
2015-12-30
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
1041C0700X Clinical ID LCSW-34696 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2087313895
Practice Location Address Telephone Number 2087313895

Addresses

Type Address City State Postal Country
Mailing Address 404 WHISPERING PINE DR TWIN FALLS ID 83301 ID
Practice Location Address 404 WHISPERING PINE DR TWIN FALLS ID 83301 ID