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1073949400
KEVIN WILLIAM JOHNSON
ST PETERSBURG, FL
NPI
1073949400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2013-09-17
Last Update Date
2013-09-17
Business Address
MR. KEVIN WILLIAM JOHNSON
1147 16TH ST N
ST PETERSBURG, FL 33705-1104
Phone number: 727-328-4003
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Mailing Address
MR. KEVIN WILLIAM JOHNSON
1147 16TH STREET NORTH
ST. PETERSBURG, FL 33705
Phone number: 727-328-4003
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