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Individual
MRS. KATHERINE NOREEN JOHNSON
Active
Individual
MRS. KATHERINE NOREEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0663571
NY
1041C0700X
Clinical Social Worker
Primary
072767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00398370
—
NY
Enumeration date
07/06/2006
Last updated
10/25/2021
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