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1760038301
TIAMOYA JOHNSON
LAKE OSWEGO, OR
NPI
1760038301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
TIAMOYA JOHNSON
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Phone number: 503-635-3416
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Mailing Address
TIAMOYA JOHNSON
PO BOX 368
MARYLHURST, OR 97036-0368
Phone number:
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