Individual
MITZIE A. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1045 WARWICK AVE STE 101, WARWICK, RI 02888-3657
(401) 406-1205
Mailing address
75 YELLOWSTONE AVE, WARWICK, RI 02888-3901
(401) 230-4246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02969
RI
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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