Individual
COLLEEN MARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CSW
Contact information
Practice address
409 MAIN ST, YOUNGSTOWN, NY 14174-1088
(716) 531-6701
Mailing address
614 2ND ST, YOUNGSTOWN, NY 14174-1236
(716) 531-6701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
061546
NY
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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