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1023594298
MELVIN JOHNSON
FORT WASHINGTON, MD
NPI
1023594298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC1032)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
MELVIN JOHNSON CAC-AD
10903 INDIAN HEAD HWY STE 504
FORT WASHINGTON, MD 20744-4012
Phone number: 240-766-4194
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Mailing Address
MELVIN JOHNSON CAC-AD
10903 INDIAN HEAD HWY STE 504
FORT WASHINGTON, MD 20744-4012
Phone number: 240-766-4194
Copy
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