STEPHANIE OCTAVIUS- JOHNSON

FAR ROCKAWAY, NY
NPI1124865217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2024-07-15
Last Update Date2024-11-06
Business Address
STEPHANIE OCTAVIUS- JOHNSON
6603 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11692-1433
Phone number: 718-471-8671
Mailing Address
STEPHANIE OCTAVIUS- JOHNSON
12019 143RD ST
JAMAICA, NY 11436-1506
Phone number: 347-666-0938
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