Individual
EILEEN ELISABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-9114
Mailing address
186 BEACON ST APT 5, BOSTON, MA 02116-1342
(617) 875-3382
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
215314
MA
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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