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1821129743
LISA DAWN JOHNSON
SACRAMENTO, CA
NPI
1821129743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-09
Last Update Date
2021-01-28
Business Address
Mrs. LISA DAWN JOHNSON
4600 47TH AVE
SACRAMENTO, CA 95824-3923
Phone number: 916-393-1222
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Mailing Address
Mrs. LISA DAWN JOHNSON
1109 AUGUSTA WAY
ROSEVILLE, CA 95661-4701
Phone number: 916-771-9376
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