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1730103755
JEANETTE JOHNSON
ASTORIA, OR
NPI
1730103755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 1408)
Enumeration Date
2006-07-26
Last Update Date
2015-07-09
Business Address
-- JEANETTE JOHNSON LCSW
3990 ABBEY LN B-109
ASTORIA, OR 97103-2237
Phone number: 503-325-9076
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Mailing Address
-- JEANETTE JOHNSON LCSW
3990 ABBEY LN B-109
ASTORIA, OR 97103-2237
Phone number: 503-325-9076
Copy
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