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1841810066
JOHANNA ST JEAN
RIVERHEAD, NY
NPI
1841810066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 105139-1)
Enumeration Date
2020-04-17
Last Update Date
2020-04-17
Business Address
JOHANNA ST JEAN LMSW
1380 ROANOKE AVE
RIVERHEAD, NY 11901-2098
Phone number: 631-369-4418
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Mailing Address
JOHANNA ST JEAN LMSW
939 JOHNSON AVE
RONKONKOMA, NY 11779-6066
Phone number: 631-471-7242
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