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Individual

MS. ALETA B JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LICSW

Contact information

Practice address
184 WATERMAN ST, PROVIDENCE, RI 02906-4051
(401) 273-5533
(401) 273-5536
Mailing address
184 WATERMAN ST, PROVIDENCE, RI 02906-4051
(401) 273-5533

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00792
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
186464
VALUE OPTIONS
RI
01
6290771
UNITED HEALTH
RI
Enumeration date
05/14/2007
Last updated
07/17/2017
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