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1114126810
LISA MARIE JOHNSON
OAKLAND, CA
NPI
1114126810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY21584)
Enumeration Date
2007-07-12
Last Update Date
2021-05-27
Business Address
Dr. LISA MARIE JOHNSON Ph.D.
747 52ND ST PSYCHIATRY/CASTLEMONT
OAKLAND, CA 94609-1809
Phone number: 510-428-3885
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Mailing Address
Dr. LISA MARIE JOHNSON Ph.D.
2921 HAVENSCOURT BLVD
OAKLAND, CA 94605-2024
Phone number: 510-209-4161
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