Individual
MS. KATIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18 ONECO STREET, NORWICH, CT 06360
(860) 389-2591
Mailing address
270 BUCKLEY RD, SALEM, CT 06420-3713
(860) 389-2591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008983
CT
Other
Enumeration date
04/01/2016
Last updated
07/22/2016
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