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Individual

JOHNNY XU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
141 PINE ST, QUINCY, MA 02170-1203
(857) 207-9173
Mailing address
141 PINE ST, QUINCY, MA 02170-1203
(857) 207-9173

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
226895
MA

Other

Enumeration date
12/27/2022
Last updated
12/27/2022
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