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Individual

MS. KATHRYN A. JOHNSON

Active
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Individual

MS. KATHRYN A. JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112100
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006339756220
UNITEDHEALTHCARE
MA
01
11464850
CAQH
MA
01
141934151-01
PACIFICARE
MA
01
2236661
CIGNA INSURANCE
MA
01
P05810
BCBS
MA
Enumeration date
01/08/2007
Last updated
07/08/2007
About Stedi
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  • EDI platform