Individual
MRS. JOHANNA H. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1577 CONGRESS ST, 1ST FLOOR, PORTLAND, ME 04102-2169
(207) 662-1442
(207) 775-2467
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14229
ME
Other
Enumeration date
10/05/2011
Last updated
04/27/2017
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