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1174074835
THERESA JOHNSON
SAN FRANCISCO, CA
NPI
1174074835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii3881214)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
-- THERESA JOHNSON
1249 SCOTT ST
SAN FRANCISCO, CA 94115-4008
Phone number: 415-922-9104
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Mailing Address
-- THERESA JOHNSON
1249 SCOTT ST
SAN FRANCISCO, CA 94115-4008
Phone number: 415-922-9104
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