Individual
MRS. KASSANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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