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1710448477
STEPHANIE CHARISSE JOHNSON
CAMARILLO, CA
NPI
1710448477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-03-26
Last Update Date
2019-03-26
Business Address
STEPHANIE CHARISSE JOHNSON
802 ESTON ST
CAMARILLO, CA 93010-4810
Phone number: 805-904-8860
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Mailing Address
STEPHANIE CHARISSE JOHNSON
802 ESTON ST
CAMARILLO, CA 93010-4810
Phone number: 805-904-8860
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