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1003671553
STEPHEN MARK JOHNSON
INDIANAPOLIS, IN
NPI
1003671553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34010944A)
Enumeration Date
2024-02-14
Last Update Date
2024-02-14
Business Address
STEPHEN MARK JOHNSON LCSW
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 812-478-1803
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Mailing Address
STEPHEN MARK JOHNSON LCSW
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 812-478-1803
Copy
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