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1215352836
JASON JOHANNESEN
WEST HAVEN, CT
NPI
1215352836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CT 003277)
Enumeration Date
2014-02-19
Last Update Date
2014-02-19
Business Address
DR. JASON JOHANNESEN PHD
950 CAMPBELL AVE PSYCHOLOGY SERVICE, 116B
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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Mailing Address
DR. JASON JOHANNESEN PHD
950 CAMPBELL AVE PSYCHOLOGY SERVICE, 116B
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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