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1801215520
TANYA M JOHANSON
LEWISTON, ME
NPI
1801215520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME CC5423)
Enumeration Date
2014-04-09
Last Update Date
2021-05-04
Business Address
TANYA M JOHANSON LCPC
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
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Mailing Address
TANYA M JOHANSON LCPC
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
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