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SHAUN JOHNSON

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1427224369Individual

Specialties, Licenses & Credentials

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

Contact & Hours

Address
14 IVANHOE PL
VALLEY STREAM, NY 11580

Quick Facts

NPI
1427224369
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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