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1174778336
MARY TERESA JOHNSTON
GARDENA, CA
NPI
1174778336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 1610)
Enumeration Date
2008-12-01
Last Update Date
2008-12-01
Business Address
Ms. MARY TERESA JOHNSTON MA,OTR/L
130 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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Mailing Address
Ms. MARY TERESA JOHNSTON MA,OTR/L
130 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
Copy
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