Individual
CASSANDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1877 STATE ROUTE 21, SHORTSVILLE, NY 14548-9213
(315) 521-1334
Mailing address
1877 STATE ROUTE 21, SHORTSVILLE, NY 14548-9213
(315) 521-1334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095643-01
NY
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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