Johnson, Marilee Sue

Johnson, Marilee Sue is an individual health care provider with primary practice located at 1318 W Ivy Ave , Moses Lake WA 98837-2065. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Johnson, Marilee Sue can be contacted via phone (509) 766-2670.

Contact Information

Primary practice address
1318 W Ivy Ave Moses Lake WA 98837-2065
Fax: (509) 766-2689
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 420897A Washington

Profile Details

NPI number 1043555972
LBN Legal business name Johnson, Marilee Sue
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2012
Last updated Dec 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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