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1114497468
SHELLY JOHNSON
EWA BEACH, HI
NPI
1114497468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: HI LCSW-4379)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
SHELLY JOHNSON LCSW
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706-3602
Phone number: 808-671-8511
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Mailing Address
SHELLY JOHNSON LCSW
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706-3602
Phone number:
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