Individual
DEIRDRE DEANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
103 WOODLAND ST, 51 CAPEN ST HARTFORD CT 06120, HARTFORD, CT 06105-1233
(860) 241-0317
(860) 241-0327
Mailing address
103 WOODLAND ST, HARTFORD, CT 06105-1233
(860) 241-0317
(860) 241-0327
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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