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Individual
VANESSA HENRIETTA JOHNSWICK
Active
Individual
VANESSA HENRIETTA JOHNSWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21415725
KAISER
CA
Enumeration date
06/10/2020
Last updated
07/25/2023
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