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1003408808
BRENDA BLAKE-JOHNSON
PHOENIX, AZ
NPI
1003408808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
BRENDA BLAKE-JOHNSON
2423 W DUNLAP AVE STE 140
PHOENIX, AZ 85021-5818
Phone number: 602-279-5351
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Mailing Address
BRENDA BLAKE-JOHNSON
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012-3313
Phone number: 602-279-5262
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