Individual
CAROL R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4 SUNSET RD, MARBLEHEAD, MA 01945-1425
(781) 910-8716
Mailing address
4 SUNSET RD, MARBLEHEAD, MA 01945-1425
(781) 910-8716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105176-SW-LICSW
MA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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