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1528543816
BRYAN JOHNSON
VALLEY STREAM, NY
NPI
1528543816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 104857)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
BRYAN JOHNSON
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580-6220
Phone number: 516-569-6600
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Mailing Address
BRYAN JOHNSON
2150 DECKER AVE
MERRICK, NY 11566-2127
Phone number: 516-712-8962
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