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1073221727
JENNIFER WALLACE-JOHNSON
EAST LONGMEADOW, MA
NPI
1073221727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 228416)
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
JENNIFER WALLACE-JOHNSON
264 N MAIN ST
EAST LONGMEADOW, MA 01028-1815
Phone number: 860-461-7792
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Mailing Address
JENNIFER WALLACE-JOHNSON
264 N MAIN ST
EAST LONGMEADOW, MA 01028-1815
Phone number: 860-461-7792
Copy
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