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1336763960
MERCEDES JOHNSON
DAYTON, OH
NPI
1336763960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
MERCEDES JOHNSON CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 937-387-6395
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Mailing Address
MERCEDES JOHNSON CDCA
2016 EDGEWORTH AVE
DAYTON, OH 45414-5506
Phone number: 937-559-6409
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