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1710024971
TRACEY L JOHNSON
LACEY, WA
NPI
1710024971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00007436)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- TRACEY L JOHNSON LMHC
1307 COLLEGE ST SE
LACEY, WA 98503-2332
Phone number: 360-790-3006
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Mailing Address
-- TRACEY L JOHNSON LMHC
1307 COLLEGE ST SE
LACEY, WA 98503-2332
Phone number: 360-790-3006
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