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Organization

ERIC JOHNSON

Active
Other names
Face to Face Consultant
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC ANTHONY JOHNSON (CLINICIAN)
61795927627
Entity
Organization

Contact information

Practice address
18 HARLOW ST, DORCHESTER, MA 02125-2614
(617) 592-7627
(617) 445-2799
Mailing address
18 HARLOW ST, DORCHESTER, MA 02125-2614
(617) 592-7627
(617) 445-2799

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/06/2008
Last updated
06/13/2008
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