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1457460016
JOHNNIE ALFONSO BRYANT
MANASQUAN, NJ
NPI
1457460016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44sc05249000)
Enumeration Date
2006-08-29
Last Update Date
2019-07-08
Business Address
Mr. JOHNNIE ALFONSO BRYANT LCSW
1913 ATLANTIC AVE
MANASQUAN, NJ 08736-1029
Phone number: 908-433-8083
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Mailing Address
Mr. JOHNNIE ALFONSO BRYANT LCSW
937 CHELSEA DR
BRICK, NJ 08724-1074
Phone number: 908-433-8083
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