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1700902103
STEPHANIE ANN JOHNSON
REVERE, MA
NPI
1700902103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 112048)
Enumeration Date
2007-03-21
Last Update Date
2012-03-05
Business Address
Ms. STEPHANIE ANN JOHNSON LICSW
300 OCEAN AVE
REVERE, MA 02151-3675
Phone number: 781-485-6100
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Mailing Address
Ms. STEPHANIE ANN JOHNSON LICSW
200 LEISURE LN APARTMENT #80
STONEHAM, MA 02180-4003
Phone number: 781-724-4275
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