GEORDAN LEGETTE JOHNSON

ROXBURY, MA
NPI1194035774
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MA  s66991897)
Enumeration Date2010-10-15
Last Update Date2010-10-15
Business Address
Mr. GEORDAN LEGETTE JOHNSON
504 DUDLEY ST
ROXBURY, MA 02119-2732
Phone number: 617-445-6655
Mailing Address
Mr. GEORDAN LEGETTE JOHNSON
175 WOODROW AVE
DORCHESTER CENTER, MA 02124-3210
Phone number: 617-388-8139