Individual
CORDELIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
135 W 50TH ST, SIXTH FLOOR, NEW YORK, NY 10020-1201
(212) 582-9100
Mailing address
950 ATLANTIC AVE, APT. 3, BROOKLYN, NY 11238-3101
(201) 572-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090796-1
NY
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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