Individual
MELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
196 WASHINGTON ST, KEENE, NH 03431-3113
(603) 723-6508
Mailing address
631 WEST ST, KEENE, NH 03431-2145
(603) 723-6508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1718
NH
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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