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1760808190
SHADAY JOHNSON
LONG BEACH, CA
NPI
1760808190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 116026)
Enumeration Date
2014-03-10
Last Update Date
2024-03-11
Business Address
SHADAY JOHNSON
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
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Mailing Address
SHADAY JOHNSON
PO BOX 4043
BELLFLOWER, CA 90707-4043
Phone number:
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