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1194146050
DELAINE JOHNSON
TRENTON, NJ
NPI
1194146050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-12-19
Last Update Date
2013-12-19
Business Address
-- DELAINE JOHNSON
132 PERRY ST
TRENTON, NJ 08618-3968
Phone number: 609-394-8988
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Mailing Address
-- DELAINE JOHNSON
132 PERRY ST
TRENTON, NJ 08618-3968
Phone number: 609-394-8988
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