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1952147761
JOHANNA KATHERINE TOBON
PAWTUCKET, RI
NPI
1952147761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MA LCSW228967)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
JOHANNA KATHERINE TOBON
164 CHAPLIN ST
PAWTUCKET, RI 02861-1748
Phone number: 401-543-6269
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Mailing Address
JOHANNA KATHERINE TOBON
420 FRUIT HILL AVE
NORTH PROVIDENCE, RI 02911-2626
Phone number: 401-543-6269
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