Individual
JOHANNA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
28 HOSKINS RD, BLOOMFIELD, CT 06002-1135
(860) 303-7102
Mailing address
28 HOSKINS RD, BLOOMFIELD, CT 06002-1135
(860) 303-7102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9873
CT
Other
Enumeration date
02/16/2022
Last updated
03/19/2024
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