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1003242173
HEATHER IRENE JOHNSON
ROSEBURG, OR
NPI
1003242173
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Former Name
HEATHER I CANNON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-09-20
Last Update Date
2021-06-16
Business Address
HEATHER IRENE JOHNSON MSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
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Mailing Address
HEATHER IRENE JOHNSON MSW
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-440-3532
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