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1083165062
TERESA M JOHNSON
CANTON, OH
NPI
1083165062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH C.1500696)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
-- TERESA M JOHNSON
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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Mailing Address
-- TERESA M JOHNSON
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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