Individual
JEFFREY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W
Contact information
Practice address
1 ALDEN AVE, AUGUSTA, ME 04330-6185
(207) 626-3497
Mailing address
413 BIGELOW HILL RD, SKOWHEGAN, ME 04976-5126
(207) 939-8623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3492
ME
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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