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1528523180
KELLY JOHNSON-SALLY
HAUPPAUGE, NY
NPI
1528523180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 109140)
Enumeration Date
2019-02-07
Last Update Date
2020-05-07
Business Address
KELLY JOHNSON-SALLY
490 WHEELER RD STE 102
HAUPPAUGE, NY 11788-4367
Phone number: 631-588-8102
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Mailing Address
KELLY JOHNSON-SALLY
490 WHEELER RD
HAUPPAUGE, NY 11788-4361
Phone number: 631-588-8102
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