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1962794552
JOAN JOHANESEN
TITUSVILLE, FL
NPI
1962794552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL ISW2149)
Enumeration Date
2011-05-13
Last Update Date
2011-05-13
Business Address
-- JOAN JOHANESEN MSW, PhD
4485 ELLIOT AVE
TITUSVILLE, FL 32780-6416
Phone number: 321-225-9315
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Mailing Address
-- JOAN JOHANESEN MSW, PhD
4485 ELLIOT AVE
TITUSVILLE, FL 32780-6416
Phone number: 321-225-9315
Copy
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