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1619738317
THERESA TARA JOHNSON
SOUTH BOSTON, MA
NPI
1619738317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
THERESA TARA JOHNSON
25 JAMES ONEILL ST
SOUTH BOSTON, MA 02127-4504
Phone number: 617-534-9500
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Mailing Address
THERESA TARA JOHNSON
1010 MASSACHUSETTS AVE
BOSTON, MA 02118-2600
Phone number: 617-534-4222
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