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1043488703
LARRY NORMAN JOHANNESSEN
JACKSONVILLE, NC
NPI
1043488703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NC C003820)
Enumeration Date
2008-02-15
Last Update Date
2008-02-15
Business Address
Dr. LARRY NORMAN JOHANNESSEN PhD MSW LCSW MDIV
825 GUMBRANCH RD SUITE 109
JACKSONVILLE, NC 28540
Phone number: 910-455-5551
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Mailing Address
Dr. LARRY NORMAN JOHANNESSEN PhD MSW LCSW MDIV
825 GUMBRANCH RD SUITE 109
JACKSONVILLE, NC 28540
Phone number: 910-455-5551
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