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Individual

CANDACE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
75 WEST ST, DANBURY, CT 06810-6528
(203) 721-4996
Mailing address
75 WEST ST, DANBURY, CT 06810-6528
(203) 721-4996

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
009448
CT
1041C0700X
Clinical Social Worker
Primary
009448
CT
1041C0700X
Clinical Social Worker
219066
MA

Other

Enumeration date
11/11/2013
Last updated
08/22/2023
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