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Individual
MARIA G JOHNSON
Active
Individual
MARIA G JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080480
LICENSED CLINICAL SOCIAL WORKER
NY
01
—
8118596
REGISTERED LICENSED CLINICAL SOCIAL WORKER
NY
Enumeration date
04/26/2013
Last updated
11/13/2014
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