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1124666359
MAURICE D JOHNSON
FAIR OAKS, CA
NPI
1124666359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A021510116)
Enumeration Date
2019-12-18
Last Update Date
2024-06-14
Business Address
MAURICE D JOHNSON
8086 ORANGE AVE
FAIR OAKS, CA 95628-5941
Phone number: 949-337-1439
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Mailing Address
MAURICE D JOHNSON
2325 MOSSY BANK DR APT 6
SACRAMENTO, CA 95833-2383
Phone number: 916-270-8899
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