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1396955472
CHARLESETTA JOHNSON
RIVERSIDE, CA
NPI
1396955472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- CHARLESETTA JOHNSON
769 W BLAINE ST STE B
RIVERSIDE, CA 92507-3970
Phone number: 951-358-7676
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Mailing Address
-- CHARLESETTA JOHNSON
769 W BLAINE ST STE B
RIVERSIDE, CA 92507-3970
Phone number: 951-358-7676
Copy
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