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1902206741
AUTUMN C JOHNSON
SAN DIEGO, CA
NPI
1902206741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW82372)
Enumeration Date
2014-08-29
Last Update Date
2019-01-23
Business Address
AUTUMN C JOHNSON LCSW
1202 MORENA BLVD
SAN DIEGO, CA 92110-3841
Phone number: 619-276-8112
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Mailing Address
AUTUMN C JOHNSON LCSW
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110-3844
Phone number: 619-275-0822
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