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1275686453
MARK JOHNSON
NORWICH, CT
NPI
1275686453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 005699)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
-- MARK JOHNSON LCSW
511 NEW LONDON TPKE
NORWICH, CT 06360-6552
Phone number: 860-886-9324
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Mailing Address
-- MARK JOHNSON LCSW
511 NEW LONDON TPKE
NORWICH, CT 06360-6552
Phone number: 860-886-9324
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