KELLY NICOLE JOHNSON

EUREKA, CA
NPI1902093438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  29904)
Enumeration Date2007-09-28
Last Update Date2016-07-13
Business Address
-- KELLY NICOLE JOHNSON LCSW
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-445-7710
Mailing Address
-- KELLY NICOLE JOHNSON LCSW
720 WOOD ST
EUREKA, CA 95501-4413
Phone number:
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