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1922543594
JACQUELYN CHARISE JOHNSON
LOS ANGELES, CA
NPI
1922543594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY29686)
Enumeration Date
2017-01-05
Last Update Date
2019-09-05
Business Address
Dr. JACQUELYN CHARISE JOHNSON Psy.D.
1020 S OLIVE ST
LOS ANGELES, CA 90015-1602
Phone number: 213-741-5482
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Mailing Address
Dr. JACQUELYN CHARISE JOHNSON Psy.D.
PO BOX 1782
LOS ANGELES, CA 90001-0782
Phone number:
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