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1023188224
LAURA S JOHNSON
COLVILLE, WA
NPI
1023188224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA RC00053049)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- LAURA S JOHNSON CDPT
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
-- LAURA S JOHNSON CDPT
529 E. ASTOR STREET
COLVILLE, WA 99114
Phone number: 509-684-3874
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