Individual
MR. CLIFFORD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW,LCSW
Contact information
Practice address
317 N MAIN ST, MANCHESTER, CT 06042-2007
(860) 643-2101
(860) 645-1470
Mailing address
317 N MAIN ST, MANCHESTER, CT 06042-2007
(860) 643-2101
(860) 645-1470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000033
CT
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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