DELOIS PENELOPE JOHNSON

SANTA MONICA, CA
NPI1790977981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence:   101YM0800X)
Enumeration Date2007-08-13
Last Update Date2007-08-13
Business Address
MS. DELOIS PENELOPE JOHNSON
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
Mailing Address
MS. DELOIS PENELOPE JOHNSON
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
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