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Individual

MELISSA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1187 QUEEN ST, SOUTHINGTON, CT 06489-1266
(860) 245-1294
Mailing address
33 SPLIT ROCK DR, WATERBURY, CT 06706-2441

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/22/2020
Last updated
11/14/2023
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