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1053092262
TRACIE DENELL JOHNSON
RIVERSIDE, CA
NPI
1053092262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 124599)
Enumeration Date
2023-07-31
Last Update Date
2024-08-29
Business Address
TRACIE DENELL JOHNSON
3333 14TH ST
RIVERSIDE, CA 92501-3858
Phone number: 951-788-8812
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Mailing Address
TRACIE DENELL JOHNSON
3333 14TH ST
RIVERSIDE, CA 92501-3858
Phone number: 951-788-8812
Copy
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