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1073142014
DONNA JOHNSON
SANTA MONICA, CA
NPI
1073142014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 0204)
Enumeration Date
2020-04-02
Last Update Date
2020-04-02
Business Address
DONNA JOHNSON
2644 30TH ST
SANTA MONICA, CA 90405-3060
Phone number: 770-714-7605
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Mailing Address
DONNA JOHNSON
475 E MAIN ST STE 110
CARTERSVILLE, GA 30121-3353
Phone number: 770-714-7605
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