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1982211058
JACOBA JOHNSON
PHILADELPHIA, PA
NPI
1982211058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS019061)
Enumeration Date
2020-09-23
Last Update Date
2022-11-15
Business Address
Dr. JACOBA JOHNSON PhD
255 S 17TH ST
PHILADELPHIA, PA 19103-6231
Phone number: 267-403-3035
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Mailing Address
Dr. JACOBA JOHNSON PhD
2413 SPRUCE ST
PHILADELPHIA, PA 19103-5526
Phone number: 202-669-7626
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