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Individual
JAMIEYA Z BOLIN-JOHNSON
Active
Individual
JAMIEYA Z BOLIN-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
11/11/2021
Last updated
08/03/2022
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