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1114055100
MARY E JOHNSON
EUREKA, CA
NPI
1114055100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCS 15012)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- MARY E JOHNSON LCSW
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2967
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Mailing Address
-- MARY E JOHNSON LCSW
1238 LONESTAR
MCKINLEYVILLE, CA 95519-8500
Phone number: 707-839-5558
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