Individual
MISS CONNCETTA B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
048788-1
NY
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
Update your record
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