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1144855578
KELLY JOHNSON
BREMERTON, WA
NPI
1144855578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA co60820429)
Enumeration Date
2020-03-05
Last Update Date
2020-03-05
Business Address
KELLY JOHNSON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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Mailing Address
KELLY JOHNSON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number:
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