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1033611041
MARK GLASGOW JOHNSON
CHARLOTTESVILLE, VA
NPI
1033611041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: VA 0717001443)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
Mr. MARK GLASGOW JOHNSON MFT
420 3RD ST NE
CHARLOTTESVILLE, VA 22902-4620
Phone number: 434-886-0500
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Mailing Address
Mr. MARK GLASGOW JOHNSON MFT
3249 TIMBERWOOD PKWY
CHARLOTTESVILLE, VA 22911-7232
Phone number: 707-303-6712
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