Individual
WANDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
91 CAMDEN STREET, SUITE 206, ROCKLAND, ME 04841
(207) 594-6699
Mailing address
91 CAMDEN STREET, SUITE 206, ROCKLAND, ME 04841
(207) 594-6699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9867
ME
Other
Enumeration date
01/16/2008
Last updated
10/26/2012
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