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1467230425
JOHANNA CEBALLOS
BRONX, NY
NPI
1467230425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date
2023-09-20
Last Update Date
2023-09-25
Business Address
JOHANNA CEBALLOS LMSW
85 W BURNSIDE AVE
BRONX, NY 10453-4015
Phone number: 718-716-4400
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Mailing Address
JOHANNA CEBALLOS LMSW
5530 NETHERLAND AVE APT 1C
BRONX, NY 10471-2364
Phone number: 347-735-1026
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