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1265800627
FANTASIA JOHNSON
RALEIGH, NC
NPI
1265800627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C012194)
Enumeration Date
2015-09-02
Last Update Date
2024-09-24
Business Address
FANTASIA JOHNSON MSW, LCSW
8045 ARCO CORPORATE DR STE 120
RALEIGH, NC 27617-2026
Phone number: 919-372-3690
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Mailing Address
FANTASIA JOHNSON MSW, LCSW
907 SUMMER STORM DR
DURHAM, NC 27704-6227
Phone number: 919-599-4610
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