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1255025052
JEROME JOHNSON
TACOMA, WA
NPI
1255025052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
JEROME JOHNSON
1305 TACOMA AVE S
TACOMA, WA 98402-1903
Phone number: 253-396-5800
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Mailing Address
JEROME JOHNSON
1305 TACOMA AVE S
TACOMA, WA 98402-1903
Phone number: 253-396-5800
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