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1336885201
SIDNEY YORKE JOHNSON
MOUNT VERNON, WA
NPI
1336885201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61278752)
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
SIDNEY YORKE JOHNSON SUDPT
15837 OTTER POND DR
MOUNT VERNON, WA 98273-8548
Phone number: 907-227-6009
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Mailing Address
SIDNEY YORKE JOHNSON SUDPT
15837 OTTER POND DR
MOUNT VERNON, WA 98273-8548
Phone number: 907-227-6009
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