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1174141337
REBECCA YVONNE JOHNSON
MERIDIAN, ID
NPI
1174141337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID lmsw-39790)
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
REBECCA YVONNE JOHNSON LMSW
750 W USTICK RD STE 120
MERIDIAN, ID 83646-6133
Phone number: 208-366-1601
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Mailing Address
REBECCA YVONNE JOHNSON LMSW
3008 W HIGAN ST
MERIDIAN, ID 83646-4107
Phone number: 541-619-4568
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