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1356097166
MISTY JOHNSON
DAVIS, CA
NPI
1356097166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 106347)
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
MISTY JOHNSON LCSW
1410 OLYMPIC DR
DAVIS, CA 95616-6641
Phone number: 503-980-5223
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Mailing Address
MISTY JOHNSON LCSW
1410 OLYMPIC DR
DAVIS, CA 95616-6641
Phone number: 503-980-5223
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