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1336964493
ISA JOHANSEN
PISCATAWAY, NJ
NPI
1336964493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00821200)
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
ISA JOHANSEN LAC
242 OLD NEW BRUNSWICK RD STE 150
PISCATAWAY, NJ 08854-3750
Phone number: 856-354-0664
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Mailing Address
ISA JOHANSEN LAC
24 BROADVIEW AVE
MADISON, NJ 07940-2819
Phone number: 862-204-9636
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