Individual
MS. NATASHA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
339 CONESTOGA ST, WINDSOR, CT 06095-2205
(203) 512-5758
Mailing address
339 CONESTOGA ST, WINDSOR, CT 06095-2205
(203) 512-5758
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
156047150
CT
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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