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1740319300
INGRID JOHANNESEN
AMITYVILLE, NY
NPI
1740319300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R048607)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- INGRID JOHANNESEN LCSW-R
55 STUART AVE
AMITYVILLE, NY 11701-4225
Phone number: 631-598-0003
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Mailing Address
-- INGRID JOHANNESEN LCSW-R
55 STUART AVE
AMITYVILLE, NY 11701-4225
Phone number: 631-598-0003
Copy
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