Individual
MR. MISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
800 MAIN ST, HOLDEN, MA 01520-1838
(508) 797-7110
Mailing address
6 SOUTH TER, AUBURN, MA 01501-2816
(508) 873-3701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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