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1114386018
KRYSTAL JOHNSON
FAIRFIELD, CA
NPI
1114386018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 70036)
Enumeration Date
2016-02-19
Last Update Date
2023-04-07
Business Address
KRYSTAL JOHNSON LCSW
4820 BUSINESS CENTER DR
FAIRFIELD, CA 94534-1696
Phone number: 707-977-8635
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Mailing Address
KRYSTAL JOHNSON LCSW
1072 VIEW DR
EL SOBRANTE, CA 94803-1250
Phone number: 510-253-4342
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