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ERICA ACEBO-JOHNSTON LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1447768155

Individual Registrant:
 ERICA  ACEBO-JOHNSTON LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8335 OFFICE PARK DR  DOUGLASVILLE, GA 30134-6937 US
Tel: 678-324-0476  Fax: --

Contact information for business:
3197 IVORY TRL SW  MARIETTA, GA 30060-6368 US
Tel: --  Fax: --

Registration Information:
NPI: 1447768155
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
GACSW005891

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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