Individual
CAROLYN DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2 WATERSIDE XING, WINDSOR, CT 06095-1587
(860) 697-3378
Mailing address
469 CENTER ST, MANCHESTER, CT 06040-3937
(860) 966-7022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7921
CT
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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