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1225589393
JOHANNA JEFFERIES
SANTA CRUZ, CA
NPI
1225589393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 108766)
Enumeration Date
2016-10-24
Last Update Date
2022-08-29
Business Address
JOHANNA JEFFERIES LCSW #108766
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4170
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Mailing Address
JOHANNA JEFFERIES LCSW #108766
246 TYLER CT
SANTA CRUZ, CA 95065-1356
Phone number: 183-332-3533
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