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1295273035
LISA JOHNSON
GARY, IN
NPI
1295273035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-31
Last Update Date
2017-01-31
Business Address
-- LISA JOHNSON
498 W 22ND PL
GARY, IN 46407-3010
Phone number: 219-805-4933
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Mailing Address
-- LISA JOHNSON
498 W 22ND PL
GARY, IN 46407-3010
Phone number: 219-805-4933
Copy
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