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1790512010
MAYLE JOHNSON
SAN ANDREAS, CA
NPI
1790512010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 104743)
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
MAYLE JOHNSON
891 MOUNTAIN RANCH RD BLDG N
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6525
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Mailing Address
MAYLE JOHNSON
5204 HAGEN CT
VALLEY SPRINGS, CA 95252-8678
Phone number: 209-918-0453
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