Keniesha Johnson, LCSW
NPI #1194253039 in Bloomfield, Connecticut
Provider Information
- NPI Number
- 1194253039
- Entity Type
- Individual
- Name
- Keniesha Johnson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- May 23, 2017
- Last Updated
- May 23, 2017
Practice Location
- Address
- 4 BANFIELD LN
- City
- Bloomfield
- State
- Connecticut
- ZIP Code
- 06002-2807
- Phone
- (860) 680-4240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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