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1922479609
TINA MARIE JOHNSON
MIDWEST CITY, OK
NPI
1922479609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-07
Last Update Date
2021-01-08
Business Address
TINA MARIE JOHNSON LPC-C
351 N AIR DEPOT BLVD SUITE M
MIDWEST CITY, OK 73110-1700
Phone number: 405-610-3644
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Mailing Address
TINA MARIE JOHNSON LPC-C
351 N AIR DEPOT BLVD SUITE M
MIDWEST CITY, OK 73110-1700
Phone number: 405-610-3644
Copy
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