Individual
MS. LYDIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
660 HARRISON AVE, BOSTON, MA 02118-2304
(617) 859-7000
(617) 262-2089
Mailing address
660 HARRISON AVE, BOSTON, MA 02118-2304
(617) 859-7000
(617) 262-2089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
215063
MA
Other
Enumeration date
10/30/2018
Last updated
06/15/2023
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