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1013541192
TRAVON JOHNSON
JOINT BASE LEWIS MCCHORD, WA
NPI
1013541192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810007696)
Enumeration Date
2020-02-27
Last Update Date
2022-05-04
Business Address
TRAVON JOHNSON Psy.D.
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431-0001
Phone number: 253-968-1110
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Mailing Address
TRAVON JOHNSON Psy.D.
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431-0001
Phone number:
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