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1417262510
TED JOHANSON
MIDDLETOWN, CT
NPI
1417262510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-12
Last Update Date
2010-08-12
Business Address
-- TED JOHANSON MA
681 SAYBROOK RD
MIDDLETOWN, CT 06457-4718
Phone number: 860-343-5303
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Mailing Address
-- TED JOHANSON MA
681 SAYBROOK RD
MIDDLETOWN, CT 06457-4718
Phone number: 860-343-5303
Copy
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