Provider Information for 1497063341
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CARLA EMILY JOHNSON LCSW
Sex: Female
NPI: 1497063341
Last Updated: 2021-10-21
Certification Date: 2021-10-21
Certification Date: 2021-10-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1497063341 | ||||||||
| Enumeration Date | 2010-09-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 26081 MOCINE AVE HAYWARD, CA 94544-2923 United States Phone: 108-815-9215 | Fax:510-881-5925 | ||||||||
| Primary Practice Address | 26081 MOCINE AVE HAYWARD, CA 94544-2923 United States Phone: 510-881-5921 | Fax:510-881-5925 | ||||||||
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