DAZZAMINE COPELAND JOHNSON

SAN JOSE, CA
NPI1841674298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-07-15
Last Update Date2015-07-15
Business Address
-- DAZZAMINE COPELAND JOHNSON
1340 FOXDALE LOOP APT 401
SAN JOSE, CA 95122-1021
Phone number: 408-449-1704
Mailing Address
-- DAZZAMINE COPELAND JOHNSON
1340 FOXDALE LOOP APT 401
SAN JOSE, CA 95122-1021
Phone number: 408-449-1704
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