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1710249255
GLENN PHELPS JOHNSON
WOODLAND, CA
NPI
1710249255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
-- GLENN PHELPS JOHNSON
137 N COTTONWOOD ST SUITE 1530
WOODLAND, CA 95695-6646
Phone number: 530-666-9546
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Mailing Address
-- GLENN PHELPS JOHNSON
137 N COTTONWOOD ST SUITE 1530
WOODLAND, CA 95695-6646
Phone number: 530-666-9546
Copy
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