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1760672075
MARY ELLEN M JOHNSTON
PORT JEFFERSON STATION, NY
NPI
1760672075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R038676-1)
Enumeration Date
2007-08-01
Last Update Date
2013-05-22
Business Address
Ms. MARY ELLEN M JOHNSTON L-RCSW
23 KENNEDY RD
PORT JEFFERSON STATION, NY 11776-1809
Phone number: 631-766-5318
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Mailing Address
Ms. MARY ELLEN M JOHNSTON L-RCSW
23 KENNEDY RD
PORT JEFFERSON STATION, NY 11776-1809
Phone number: 631-766-5318
Copy
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