LAURIE LYA JOHNSON

OAKLAND, CA
NPI1063243269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  124915)
Enumeration Date2024-08-09
Last Update Date2024-08-09
Business Address
LAURIE LYA JOHNSON
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Mailing Address
LAURIE LYA JOHNSON
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330