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1760610695
JOHANNA FATIHA WILKERSON
SACRAMENTO, CA
NPI
1760610695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
-- JOHANNA FATIHA WILKERSON
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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Mailing Address
-- JOHANNA FATIHA WILKERSON
4343 WILLIAMSBOROUGH DR.
SACRAMENTO, CA 95823
Phone number: 916-395-3552
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