Therese Johnson
Social Worker, Clinical in Bridgton, ME. Individual provider (NPI-1).
NPI number1881925360
StatusActive
Last updated in NPPESJan 22, 2010
Details
- NPI
- 1881925360
- Entity type
- Individual (NPI-1)
- Name
- Therese Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2010
- Last updated
- Jan 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | MC11705 | ME | Yes |
Practice location
32 N High StBridgton, ME 04009-1125
Phone 207-647-5629
Mailing address
1155 Lisbon StLewiston, ME 04240-5025
Phone 207-783-9141
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All 34 Clinical Social Worker providers in Bridgton · All 214 providers in Bridgton
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