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Organization

EILEEN W. JOHNSON, LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EILEEN W. JOHNSON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(207) 729-5644
Entity
Organization

Contact information

Practice address
98 MAINE ST, BRUNSWICK, ME 04011-2031
(207) 729-5644
(207) 729-5699
Mailing address
98 MAINE ST, BRUNSWICK, ME 04011-2031
(207) 729-5644
(207) 729-5699

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4603
ME

Other

Enumeration date
08/20/2008
Last updated
08/20/2008
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