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1548446362
WILLIE CLAY JOHNSON
INDIO, CA
NPI
1548446362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01-037311)
Enumeration Date
2008-01-10
Last Update Date
2008-01-10
Business Address
-- WILLIE CLAY JOHNSON CAS
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
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Mailing Address
-- WILLIE CLAY JOHNSON CAS
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
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