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1083369136
TRACY JOHNSON
OCEANSIDE, NY
NPI
1083369136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 024759)
Enumeration Date
2022-02-17
Last Update Date
2022-02-17
Business Address
DR. TRACY JOHNSON PSYD
247 MERRIFIELD AVE
OCEANSIDE, NY 11572-2911
Phone number: 516-425-3007
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Mailing Address
DR. TRACY JOHNSON PSYD
138 MAIN ST
EAST ROCKAWAY, NY 11518-1702
Phone number:
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