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1104571306
JOHANNA SHIELDS
BLOOMFIELD, CT
NPI
1104571306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 9873)
Enumeration Date
2022-02-16
Last Update Date
2024-03-19
Business Address
JOHANNA SHIELDS LCSW
28 HOSKINS RD
BLOOMFIELD, CT 06002-1135
Phone number: 860-303-7102
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Mailing Address
JOHANNA SHIELDS LCSW
28 HOSKINS RD
BLOOMFIELD, CT 06002-1135
Phone number: 860-303-7102
Copy
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