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Individual
MRS. THERESA M JOHNSON
Active
Individual
MRS. THERESA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC APRN LADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LADC000161
CT
163W00000X
Registered Nurse
RNE33028
CT
363L00000X
Nurse Practitioner
APRN002487
CT
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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