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1558016055
ANNIE R JOHNSON
NEWARK, NJ
NPI
1558016055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37Lcooo63500)
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
ANNIE R JOHNSON LCADC
300 S 12TH ST
NEWARK, NJ 07103-1960
Phone number: 973-622-4934
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Mailing Address
ANNIE R JOHNSON LCADC
300 S 12TH ST
NEWARK, NJ 07103-1960
Phone number: 862-668-6149
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