Individual
MR. THOMAS RAY JOHANESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
1901 N OLDEN AVENUE EXT STE 29, EWING, NJ 08618-2111
(609) 237-7100
(609) 616-7904
Mailing address
1307 N OAKS BLVD, NORTH BRUNSWICK, NJ 08902-2157
(917) 232-0389
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07188400
NJ
1041S0200X
School Social Worker
01844716
NJ
Other
Enumeration date
05/06/2024
Last updated
03/22/2025
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