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Individual

ANDERIA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(425) 653-4960
Mailing address
17630 143RD AVE SE APT D204, RENTON, WA 98058-9225
(850) 322-7659

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/09/2019
Last updated
12/28/2019
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