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1063243269
LAURIE LYA JOHNSON
OAKLAND, CA
NPI
1063243269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 124915)
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
LAURIE LYA JOHNSON
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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Mailing Address
LAURIE LYA JOHNSON
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Copy
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