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1699136952
RIESSA JOHNSON
BUFFALO, NY
NPI
1699136952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-03-15
Last Update Date
2016-03-15
Business Address
-- RIESSA JOHNSON
1131 BROADWAY ST
BUFFALO, NY 14212-1501
Phone number: 716-896-7350
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Mailing Address
-- RIESSA JOHNSON
1131 BROADWAY ST
BUFFALO, NY 14212-1501
Phone number: 716-896-7350
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