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1174189559
JACQUELINE JOHNSON
PHILADELPHIA, PA
NPI
1174189559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-11
Last Update Date
2020-01-16
Business Address
JACQUELINE JOHNSON MS
1550 LATIMER ST
PHILADELPHIA, PA 19102-4417
Phone number: 215-802-3533
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Mailing Address
JACQUELINE JOHNSON MS
6711 GERMANTOWN AVE UNIT 18953
PHILADELPHIA, PA 19119-2181
Phone number: 215-802-3533
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