MS. Stephanie Ann Johnson, LICSW
NPI #1700902103 in Revere, Massachusetts
Provider Information
- NPI Number
- 1700902103
- Entity Type
- Individual
- Name
- MS. Stephanie Ann Johnson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Mar 5, 2012
Practice Location
- Address
- 300 OCEAN AVE
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-3675
- Phone
- (781) 485-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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