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1780135780
DORETTE L JOHNSON
CANTON, OH
NPI
1780135780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.150089)
Enumeration Date
2016-10-14
Last Update Date
2019-09-26
Business Address
DORETTE L JOHNSON CDCA
1711 SPRING AVE NE
CANTON, OH 44714-2349
Phone number: 330-454-6800
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Mailing Address
DORETTE L JOHNSON CDCA
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-453-8252
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