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1104606078
LASARA JOHNSON
AKRON, OH
NPI
1104606078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 185957)
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
LASARA JOHNSON CDCA Preliminary
15 FREDERICK AVE
AKRON, OH 44310-2904
Phone number: 330-996-7730
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Mailing Address
LASARA JOHNSON CDCA Preliminary
908 DAN ST
AKRON, OH 44310-3439
Phone number: 330-212-3983
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