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1104007236
ROBERTA JOHNSON
ELLSWORTH, ME
NPI
1104007236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC11261)
Enumeration Date
2007-11-16
Last Update Date
2007-11-16
Business Address
-- ROBERTA JOHNSON LCSW
204 WATER ST
ELLSWORTH, ME 04605-2038
Phone number: 207-667-2061
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Mailing Address
-- ROBERTA JOHNSON LCSW
28 NEILS COVE LN
STONINGTON, ME 04681-3034
Phone number: 207-367-2991
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