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Individual

MS. TASHA MONIQUE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 SUNSET TERR., IRVINGTON, NJ 07111
(973) 477-4435
Mailing address
1 SUNSET TERR., IRVINGTON, NJ 07111
(973) 477-4435

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
509815
NJ

Other

Enumeration date
01/05/2011
Last updated
01/05/2011
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