Elizabeth Johnson MSW, BCD, LICSW

NPI 1063521615 - Social Worker - 1041C0700X

NPI Details
NPI 1063521615
Gender Female
Enumeration Date 08/29/2006
Last Updated 04/12/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
830 CHALKSTONE AVE
PROVIDENCE RI, 02908-4734, US
Phone (401) 273-7100
Fax
Business Location
830 CHALKSTONE AVE
PROVIDENCE RI, 02908-4734, US
Phone (401) 273-7100
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 1021729
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According to our database, Elizabeth Johnson MSW, BCD, LICSW NPI is 1063521615, taxonomy code is 1041C0700X and license number is 1021729, license state is located at Massachusetts. Elizabeth Johnson MSW, BCD, LICSW physically located at 830 Chalkstone Ave, Providence RI, 02908-4734. NPI Number Elizabeth Johnson MSW, BCD, LICSW has the Individual type.

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1063521615 NPI number is provided on an as is basis without warranty of any kind. 1063521615 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Johnson MSW, BCD, LICSW are for informational purposes only.