Individual
DEAMBRA CHIFFON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
7610 40TH ST W, UNIVERSITY PLACE, WA 98466-3834
(253) 290-7017
Mailing address
7610 40TH ST W, UNIVERSITY PLACE, WA 98466-3834
(253) 290-7017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
10/03/2019
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