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1134568801
MARINA GORDULA JOHNSON
FAYETTEVILLE, NC
NPI
1134568801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C009623)
Enumeration Date
2013-06-17
Last Update Date
2020-04-14
Business Address
Mrs. MARINA GORDULA JOHNSON LCSW
2005 HOPE MILLS RD
FAYETTEVILLE, NC 28304-4224
Phone number: 910-920-5802
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Mailing Address
Mrs. MARINA GORDULA JOHNSON LCSW
2005 HOPE MILLS RD
FAYETTEVILLE, NC 28304-4224
Phone number: 910-920-5802
Copy
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