JENNIFER LYNN JOHNSON

STONY BROOK, NY
NPI1669896403
Former NameJENNIFER LYNN HACKER
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy221700000X Art Therapist
(Licence: NY  000775-1)
Enumeration Date2014-02-14
Last Update Date2014-02-14
Business Address
-- JENNIFER LYNN JOHNSON ATR-BC,L-CAT
NICHOLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-444-1051
Mailing Address
-- JENNIFER LYNN JOHNSON ATR-BC,L-CAT
55 LAKE SHORE DR
RONKONKOMA, NY 11779-3154
Phone number: 631-648-8740
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