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1134439045
JEFFERY JOHNSON
POUGHKEEPSIE, NY
NPI
1134439045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 8611)
Enumeration Date
2010-10-13
Last Update Date
2010-10-13
Business Address
MR. JEFFERY JOHNSON
241 NORTH RD
POUGHKEEPSIE, NY 12601-1154
Phone number: 845-483-5512
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Mailing Address
MR. JEFFERY JOHNSON
241 NORTH RD
POUGHKEEPSIE, NY 12601-1154
Phone number: 845-483-5512
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