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1972004703
SOPHIA KAYE JOHNSON
OAK HARBOR, WA
NPI
1972004703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60488344)
Enumeration Date
2018-02-27
Last Update Date
2018-06-16
Business Address
SOPHIA KAYE JOHNSON Cdpt
3165 WA-20 SUITE#1
OAK HARBOR, WA 98277
Phone number: 360-697-7676
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Mailing Address
SOPHIA KAYE JOHNSON Cdpt
300 NE 7TH AVE APT A103
OAK HARBOR, WA 98277-2508
Phone number:
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