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1073915088
GARY JOHNSON
MENOMONIE, WI
NPI
1073915088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: WI 128438-121)
Enumeration Date
2014-09-22
Last Update Date
2014-09-22
Business Address
Mr. GARY JOHNSON MSW
406 TECHNOLOGY DR E SUITE C
MENOMONIE, WI 54751-2767
Phone number: 715-235-4696
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Mailing Address
Mr. GARY JOHNSON MSW
E3364 COUNTY ROAD P
MENOMONIE, WI 54751-5303
Phone number: 715-235-9406
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