Provider Information for 1508969668
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Ms. SANDRA J JOHNSON LPC
Sex: Female
NPI: 1508969668
Last Updated: 2007-07-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508969668 | ||||||||
| Enumeration Date | 2006-09-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11881 GULF POINTE DR A12 HOUSTON, TX 77089-2741 United States Phone: 281-922-7652 | Fax:281-922-7652 | ||||||||
| Primary Practice Address | 11881 GULF POINTE DR A12 HOUSTON, TX 77089-2741 United States Phone: 281-922-7652 | Fax:281-922-7652 | ||||||||
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