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1417166455
SHIRLEY LARAINE JOHNSON
MEDFORD, OR
NPI
1417166455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2938)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- SHIRLEY LARAINE JOHNSON LCSW
33 N CENTRAL AVE SUITE 320
MEDFORD, OR 97501-5900
Phone number: 541-890-3066
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Mailing Address
-- SHIRLEY LARAINE JOHNSON LCSW
33 N CENTRAL AVE SUITE 320
MEDFORD, OR 97501-5900
Phone number: 541-890-3066
Copy
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