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1891284717
AMANDA MARIE JOHNSON
DAYTON, OH
NPI
1891284717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: OH LCDCII.161326)
Enumeration Date
2018-05-07
Last Update Date
2019-01-11
Business Address
AMANDA MARIE JOHNSON LCDCII
1725 E 3RD ST
DAYTON, OH 45403-1850
Phone number: 937-387-6395
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Mailing Address
AMANDA MARIE JOHNSON LCDCII
1899 LOWER BELLBROOK RD
XENIA, OH 45385-9310
Phone number: 937-613-9537
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