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1134812043
EVAN JOHNSON
MILWAUKEE, WI
NPI
1134812043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 11000-123)
Enumeration Date
2023-05-29
Last Update Date
2023-05-29
Business Address
EVAN JOHNSON MSW, LCSW
1429 N PROSPECT AVE
MILWAUKEE, WI 53202-3017
Phone number: 414-721-1574
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Mailing Address
EVAN JOHNSON MSW, LCSW
2536 S 67TH ST
MILWAUKEE, WI 53219-2635
Phone number: 414-721-1574
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