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1407362122
CRYSTAL JOHNSON
WALDORF, MD
NPI
1407362122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC2302)
Enumeration Date
2017-12-18
Last Update Date
2017-12-18
Business Address
CRYSTAL JOHNSON CAC-AD
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602-2751
Phone number: 301-818-0030
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Mailing Address
CRYSTAL JOHNSON CAC-AD
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602-2751
Phone number: 301-818-0030
Copy
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