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1043254493
ERIC JOHNSON
PORTLAND, ME
NPI
1043254493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ME CC3012)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
-- ERIC JOHNSON LCPC
205 OCEAN AVE
PORTLAND, ME 04103-5742
Phone number: 207-775-1335
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Mailing Address
-- ERIC JOHNSON LCPC
205 OCEAN AVE
PORTLAND, ME 04103-5742
Phone number: 207-775-1335
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