Individual
WILTHONIE A JOHNSON-GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2 DUDLEY ST STE 560, PROVIDENCE, RI 02905-3230
(401) 453-7955
Mailing address
2 DUDLEY ST STE 560, PROVIDENCE, RI 02905-3230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
ISW03073
RI
Other
Enumeration date
06/06/2013
Last updated
03/17/2020
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