Individual
ALISON OLIVIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
142 W 4TH ST APT 2, NEW YORK, NY 10012-1032
(646) 642-3699
Mailing address
142 W4TH STREET #2, NEW YORK, NY 10012
(646) 642-3699
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105100
NY
1041C0700X
Clinical Social Worker
093963-01
NY
Other
Enumeration date
01/09/2019
Last updated
09/20/2022
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