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1053917476
DERRICK E JOHNSON
NORMAN, OK
NPI
1053917476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 2284)
Enumeration Date
2020-12-10
Last Update Date
2020-12-10
Business Address
Mr. DERRICK E JOHNSON LPC
2212 WESTPARK DR
NORMAN, OK 73069-4097
Phone number: 405-310-3262
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Mailing Address
Mr. DERRICK E JOHNSON LPC
2212 WESTPARK DR.
NORMAN, OK 73069
Phone number: 405-310-3262
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