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1588842934
TRACY JOHNSON
LOS ANGELES, CA
NPI
1588842934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-07
Last Update Date
2008-02-07
Business Address
-- TRACY JOHNSON
7868 S WESTERN AVE
LOS ANGELES, CA 90047-2756
Phone number: 323-752-4700
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Mailing Address
-- TRACY JOHNSON
566 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number:
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