Individual
AMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
22 US OVAL STE 100, PLATTSBURGH, NY 12903-5901
(518) 563-8206
Mailing address
22 US OVAL STE 100, PLATTSBURGH, NY 12903-5901
(518) 563-8206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135011
VT
1041C0700X
Clinical Social Worker
098155
NY
Other
Enumeration date
04/11/2023
Last updated
08/06/2024
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