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1104569573
TANDRA JOHNSON
LOS ANGELES, CA
NPI
1104569573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 107737)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-04-14
Last Update Date
2023-06-22
Business Address
TANDRA JOHNSON
515 COLUMBIA AVE # 200
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
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Mailing Address
TANDRA JOHNSON
515 COLUMBIA AVE # 200
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
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