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1992450852
EBONY SHANTE JOHNSON
BRIDGEPORT, CT
NPI
1992450852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-02-18
Last Update Date
2022-02-18
Business Address
EBONY SHANTE JOHNSON
170 BENNETT ST
BRIDGEPORT, CT 06605-2901
Phone number: 203-864-5013
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Mailing Address
EBONY SHANTE JOHNSON
140 TEXAS AVE
BRIDGEPORT, CT 06610-1852
Phone number: 203-864-5013
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