Individual
MR. GEORGE HEATON JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
24 MEADOW LN, NEW HOPE, PA 18938-1050
(215) 345-5175
Mailing address
PO BOX 57, NEW HOPE, PA 18938-0057
(215) 345-5175
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW011694L
PA
1041C0700X
Clinical Social Worker
Primary
44SC04548000
NJ
Other
Enumeration date
10/13/2006
Last updated
11/22/2013
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