Individual
ALICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
27 WATER ST, SUITE 109, WAKEFIELD, MA 01880-3032
(781) 246-2003
Mailing address
27 WATER ST, SUITE 109, WAKEFIELD, MA 01880-3032
(781) 246-2003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119384
MA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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