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1659922375
TARRELL K JOHNSON
ENGLEWOOD, NJ
NPI
1659922375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
TARRELL K JOHNSON
93 W PALISADE AVE
ENGLEWOOD, NJ 07631-2611
Phone number: 201-567-0500
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Mailing Address
TARRELL K JOHNSON
93 W PALISADE AVE
ENGLEWOOD, NJ 07631-2611
Phone number: 201-567-0500
Copy
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