Individual
HASAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
302 RIVENDELL WAY, EDISON, NJ 08817-2008
(732) 579-3477
Mailing address
302 RIVENDELL WAY, EDISON, NJ 08817-2008
(732) 579-3477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05233900
NJ
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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