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1235258237
ELLEN MAXINE JOHNSON
BAINBRIDGE ISLAND, WA
NPI
1235258237
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Former Name
ELLEN MAXINE HICKMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00006614)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Ms. ELLEN MAXINE JOHNSON M.S.
5083 TAYLOR AVE NE
BAINBRIDGE ISLAND, WA 98110-3188
Phone number: 206-842-0664
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Mailing Address
Ms. ELLEN MAXINE JOHNSON M.S.
5083 TAYLOR AVE NE
BAINBRIDGE ISLAND, WA 98110-3188
Phone number: 206-842-0664
Copy
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