Individual
RIDLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 RIDGEWOOD RD, MILTON, MA 02186-5812
(857) 829-7024
Mailing address
60 RIDGEWOOD RD, MILTON, MA 02186-5812
(857) 829-7024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1790189439
MA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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