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1609640515
SHANEKA MARIE JOHNSON
BURLINGAME, CA
NPI
1609640515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-11-10
Last Update Date
2023-11-10
Business Address
SHANEKA MARIE JOHNSON
826 MAHLER RD
BURLINGAME, CA 94010-1604
Phone number: 650-684-7703
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Mailing Address
SHANEKA MARIE JOHNSON
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number: 650-689-5597
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