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Individual

KHWMERE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 383-6236
Mailing address
12 AMITY ST, PATERSON, NJ 07522-1812
(862) 823-6019

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07089500
NJ

Other

Enumeration date
02/23/2024
Last updated
02/23/2024
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