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1790202240
DEIDRE L JOHNSON
GAINESVILLE, FL
NPI
1790202240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW18067)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-08-25
Last Update Date
2021-02-10
Business Address
DEIDRE L JOHNSON
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
DEIDRE L JOHNSON
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Copy
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