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Individual
TIFFANY SHARESE JOHNSON
Active
Individual
TIFFANY SHARESE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
120197
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/19/2019
Last updated
01/13/2026
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