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1528625993
EBONY NICOLE JOHNSON
BRANDON, FL
NPI
1528625993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW18488)
Enumeration Date
2019-05-21
Last Update Date
2021-08-06
Business Address
EBONY NICOLE JOHNSON LCSW
126 LITHIA PINECREST RD
BRANDON, FL 33511-5347
Phone number: 813-358-6841
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Mailing Address
EBONY NICOLE JOHNSON LCSW
12319 FAIRLAWN DR
RIVERVIEW, FL 33579-3921
Phone number: 813-451-2501
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