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1194253039
KENIESHA JOHNSON
BLOOMFIELD, CT
NPI
1194253039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CT 008593)
Enumeration Date
2017-05-23
Last Update Date
2017-05-23
Business Address
KENIESHA JOHNSON LCSW
4 BANFIELD LN
BLOOMFIELD, CT 06002-2807
Phone number: 860-680-4240
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Mailing Address
KENIESHA JOHNSON LCSW
4 BANFIELD LN
BLOOMFIELD, CT 06002-2807
Phone number: 860-680-4240
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