Individual
DANA PATRICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
1152 88TH AVE, OAKLAND, CA 94621-1114
(510) 385-7364
Mailing address
PO BOX 13192, BERKELEY, CA 94712-4192
(510) 385-7364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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