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1659936482
JEANETTE JOHNSON
LAKEWOOD, WA
NPI
1659936482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60768670)
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
JEANETTE JOHNSON MA
8811 S TACOMA WAY STE 106
LAKEWOOD, WA 98499-4595
Phone number: 253-302-3826
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Mailing Address
JEANETTE JOHNSON MA
8811 S TACOMA WAY STE 106
LAKEWOOD, WA 98499-4595
Phone number: 253-302-3826
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