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1912763509
THERESA JOHNSON
FAIRFIELD, CA
NPI
1912763509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 120857)
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
THERESA JOHNSON
4820 BUSINESS CENTER DR STE 110
FAIRFIELD, CA 94534-1907
Phone number: 530-392-4399
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Mailing Address
THERESA JOHNSON
4820 BUSINESS CENTER DR STE 110
FAIRFIELD, CA 94534-1907
Phone number:
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