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1982134698
LISA MICHELLE JOHNSON
STATESVILLE, NC
NPI
1982134698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P010480)
Enumeration Date
2017-06-14
Last Update Date
2022-07-21
Business Address
LISA MICHELLE JOHNSON LCSWA
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625-4391
Phone number: 704-873-1114
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Mailing Address
LISA MICHELLE JOHNSON LCSWA
284 EXECUTIVE PARK DRIVE STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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