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Individual

ANGELYMAR JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
170 PLEASANT ST, FALL RIVER, MA 02721-3015
(774) 294-5722
Mailing address
170 PLEASANT ST, FALL RIVER, MA 02721-3015
(774) 294-5722

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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