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1194035774
GEORDAN LEGETTE JOHNSON
ROXBURY, MA
NPI
1194035774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MA s66991897)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
Mr. GEORDAN LEGETTE JOHNSON
504 DUDLEY ST
ROXBURY, MA 02119-2732
Phone number: 617-445-6655
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Mailing Address
Mr. GEORDAN LEGETTE JOHNSON
175 WOODROW AVE
DORCHESTER CENTER, MA 02124-3210
Phone number: 617-388-8139
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