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1104593771
TIFFANY JOHNSON
VALLEJO, CA
NPI
1104593771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
TIFFANY JOHNSON
2833 TENNESSEE ST
VALLEJO, CA 94591-4948
Phone number: 707-556-8620
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Mailing Address
TIFFANY JOHNSON
3093 BROADWAY UNIT 432
OAKLAND, CA 94611-5791
Phone number: 805-286-8436
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