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Individual

THOMAS JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
137 S HIRAM RD, HIRAM, ME 04041-3636
(207) 625-3208
Mailing address
363 DURGINTOWN RD, HIRAM, ME 04041-3609
(207) 542-3064

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12299
ME
1041S0200X
School Social Worker
LC12299
ME

Other

Enumeration date
04/04/2007
Last updated
07/13/2021
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