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1316400450
DIANA JOHNSON
CORONA, NY
NPI
1316400450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 068051)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2019-04-06
Last Update Date
2019-04-06
Business Address
DIANA JOHNSON
5409 100TH ST APT 607
CORONA, NY 11368-3779
Phone number: 757-593-3662
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Mailing Address
DIANA JOHNSON
5409 100TH ST APT 607
CORONA, NY 11368-3779
Phone number: 757-593-3662
Copy
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