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Individual

MARISSA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 952-3372
Mailing address
408 CASCADE AVE UNIT 1696, HOOD RIVER, OR 97031-0811

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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