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1881084812
VICKI L. JOHNSON
ROSEBURG, OR
NPI
1881084812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C3720)
Enumeration Date
2015-01-29
Last Update Date
2021-07-08
Business Address
VICKI L. JOHNSON LPC
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
VICKI L. JOHNSON LPC
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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