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1649779224
JENNIFER RENE JOHNSON
SOUTH PORTLAND, ME
NPI
1649779224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LM16867)
Enumeration Date
2018-02-08
Last Update Date
2018-02-08
Business Address
JENNIFER RENE JOHNSON
135 WESTBROOK ST
SOUTH PORTLAND, ME 04106
Phone number: 208-691-1333
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Mailing Address
JENNIFER RENE JOHNSON
135 WESTBROOK ST
SOUTH PORTLAND, ME 04106
Phone number: 208-691-1333
Copy
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