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1487178828
MARIO JOSEPH JOHNSON
WORCESTER, MA
NPI
1487178828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-27
Last Update Date
2020-10-02
Business Address
MARIO JOSEPH JOHNSON
340 MAIN ST # 818
WORCESTER, MA 01608-1604
Phone number: 508-791-4976
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Mailing Address
MARIO JOSEPH JOHNSON
324 CLARK ST
WORCESTER, MA 01606-1214
Phone number:
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