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1316563596
MARY JOHNSON
SANTA ANA, CA
NPI
1316563596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1521070823)
Enumeration Date
2020-06-23
Last Update Date
2023-09-26
Business Address
MARY JOHNSON
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
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Mailing Address
MARY JOHNSON
1330 S CITRUS AVE APT 17
FULLERTON, CA 92833-4749
Phone number: 850-393-6059
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