Individual
ELIZABETH JOHNSON-TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 MURRAY ST, WATERBURY, CT 06710-1920
(203) 756-8317
Mailing address
271 FARM MEADOW LN, CHESHIRE, CT 06410-4247
(203) 623-9880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001141
CT
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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