| Eileen W. Johnson, Lcsw, Llc | |
|
98 Maine St Brunswick ME 04011-2031 | |
| (207) 729-5644 | |
| (207) 729-5699 |
| Full Name | Eileen W. Johnson, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 98 Maine St, Brunswick, Maine |
| Authorized Official Name and Position | Eileen W. Johnson (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2077295644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen W. Johnson, Lcsw, Llc 98 Maine St Brunswick ME 04011-2031 Ph: (207) 729-5644 | Eileen W. Johnson, Lcsw, Llc 98 Maine St Brunswick ME 04011-2031 Ph: (207) 729-5644 |
| NPI Number | 1184871196 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184871196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC4603 (Maine) | Primary |
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