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1750740825
MITZI JOHNSON
POMONA, CA
NPI
1750740825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA J1002121220)
Enumeration Date
2016-02-18
Last Update Date
2016-02-18
Business Address
Ms. MITZI JOHNSON CAADE
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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Mailing Address
Ms. MITZI JOHNSON CAADE
4361 MISSION BLVD SPC 141
MONTCLAIR, CA 91763-6062
Phone number: 909-541-6550
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