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1972156107
SHANTANNA JOHNSON
NEW YORK, NY
NPI
1972156107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-17
Last Update Date
2019-07-17
Business Address
SHANTANNA JOHNSON
2369 2ND AVE
NEW YORK, NY 10035-3108
Phone number: 212-876-2300
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Mailing Address
SHANTANNA JOHNSON
2369 2ND AVE
NEW YORK, NY 10035-3108
Phone number: 212-876-2300
Copy
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