Individual
ROBERTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
204 WATER ST, ELLSWORTH, ME 04605-2038
(207) 667-2061
Mailing address
28 NEILS COVE LN, STONINGTON, ME 04681-3034
(207) 367-2991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11261
ME
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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