Individual
MS. ANDREA KATHERINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
297 ALLEN ST, NEW BEDFORD, MA 02740-3328
(774) 628-9656
Mailing address
297 ALLEN ST, NEW BEDFORD, MA 02740-3328
(774) 628-9656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113588
MA
Other
Enumeration date
02/14/2007
Last updated
12/01/2011
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