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Individual
ERICA DENA JOHNSON
Active
Individual
ERICA DENA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LT
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/16/2019
Last updated
11/28/2020
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