Individual
AYANA AISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4204 FILLMORE AVE, BROOKLYN, NY 11234-4528
(646) 489-8874
Mailing address
4204 FILLMORE AVE, BROOKLYN, NY 11234-4528
(646) 489-8874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73073867
NY
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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