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1043555972
MARILEE SUE JOHNSON
MOSES LAKE, WA
NPI
1043555972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: WA 420897A)
Enumeration Date
2012-12-04
Last Update Date
2012-12-04
Business Address
-- MARILEE SUE JOHNSON MS
1318 W IVY AVE
MOSES LAKE, WA 98837-2065
Phone number: 509-766-2670
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Mailing Address
-- MARILEE SUE JOHNSON MS
920 W IVY AVE
MOSES LAKE, WA 98837-2047
Phone number:
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