Individual
LAURA KAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
143 POTTLE RD, OXFORD, ME 04270-3362
(207) 743-8221
(207) 743-7913
Mailing address
28 EGYPT MOUNTAIN RD, BETHEL, ME 04217-5104
(207) 875-2800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8843
ME
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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