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1881925360
THERESE JOHNSON
BRIDGTON, ME
NPI
1881925360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC11705)
Enumeration Date
2010-01-22
Last Update Date
2010-01-22
Business Address
-- THERESE JOHNSON
32 N HIGH ST
BRIDGTON, ME 04009-1125
Phone number: 207-647-5629
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Mailing Address
-- THERESE JOHNSON
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
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