Individual
JOHANNA KATHERINE TOBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 CHAPLIN ST, PAWTUCKET, RI 02861-1748
(401) 543-6269
Mailing address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 543-6269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW228967
MA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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