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1730653551
DEDERICKA JOHNSON
CHATTANOOGA, TN
NPI
1730653551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
DEDERICKA JOHNSON MS
2347 ROSSVILLE BLVD
CHATTANOOGA, TN 37408-2250
Phone number: 423-320-2431
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Mailing Address
DEDERICKA JOHNSON MS
2347 ROSSVILLE BLVD
CHATTANOOGA, TN 37408-2250
Phone number: 423-320-2431
Copy
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