| NPI | 1972180768 |
|---|---|
| Former Legal Business Name | ALYSSA JOHNSON, LICSW |
| Entity Type | Organization |
| Authorized Contact | ALYSSA MICHELLE JOHNSON Private Practice Social Worker 508-577-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2023-09-20 |