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1073579306
TINA JOHNSON
COTTONWOOD, AZ
NPI
1073579306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-17813)
Enumeration Date
2006-04-25
Last Update Date
2020-05-11
Business Address
Ms. TINA JOHNSON LICSW
799 COVE PKWY
COTTONWOOD, AZ 86326-4683
Phone number: 701-261-9685
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Mailing Address
Ms. TINA JOHNSON LICSW
270 S DESPERADO DR
COTTONWOOD, AZ 86326-7356
Phone number: 701-261-9685
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