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Individual

LASHANDA TANIESHA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. MFT

Contact information

Practice address
37 LINDSLEY PL, 2ND FL, EAST ORANGE, NJ 07018-1109
(484) 554-5175
Mailing address
37 LINDSLEY PL, 2ND FL, EAST ORANGE, NJ 07018-1109
(484) 554-5175

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3TP11-024
NJ

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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