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1457918427
DORLA JOHNSON
PORTSMOUTH, VA
NPI
1457918427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0732000554)
Enumeration Date
2019-05-23
Last Update Date
2020-10-26
Business Address
DORLA JOHNSON CEO
3026 TYRE NECK RD STE J
PORTSMOUTH, VA 23703-4500
Phone number: 757-609-8344
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Mailing Address
DORLA JOHNSON CEO
PO BOX 9641
CHESAPEAKE, VA 23321-9641
Phone number: 757-609-8344
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