Individual
BEVERLY JOHNSON-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 W 86TH ST, NEW YORK, NY 10024-4018
(212) 362-8755
Mailing address
160 W 86TH ST, NEW YORK, NY 10024-4018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090381
NY
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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