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1952999716
CONNIE R JOHNSON
DALLAS, OR
NPI
1952999716
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Former Name
CONNIE R GAINES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-01-07
Last Update Date
2024-10-24
Business Address
MS. CONNIE R JOHNSON MS
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
MS. CONNIE R JOHNSON MS
8175 HIGHLAND RD
INDEPENDENCE, OR 97351-9446
Phone number: 541-740-1518
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