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1376386011
CALLIE JOHANSON
MAHOPAC, NY
NPI
1376386011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
CALLIE JOHANSON
572 ROUTE 6
MAHOPAC, NY 10541-4787
Phone number: 845-519-2295
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Mailing Address
CALLIE JOHANSON
572 ROUTE 6 STE 102
MAHOPAC, NY 10541-4795
Phone number: 845-519-2295
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