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1114298122
MICHAEL KEVIN JOHNSON
ROCKWALL, TX
NPI
1114298122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 36113)
Enumeration Date
2012-01-23
Last Update Date
2016-12-13
Business Address
-- MICHAEL KEVIN JOHNSON Ph.D.
2237 RIDGE RD STE 101
ROCKWALL, TX 75087-5164
Phone number: 972-771-3969
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Mailing Address
-- MICHAEL KEVIN JOHNSON Ph.D.
2237 RIDGE RD STE 101
ROCKWALL, TX 75087-5164
Phone number: 972-771-3969
Copy
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