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Individual
VANESIA REGINA JOHNSON
Active
Individual
VANESIA REGINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
37114
TX
1041C0700X
Clinical Social Worker
Primary
37114
TX
Other
Enumeration date
11/05/2010
Last updated
06/20/2012
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