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1164274288
MARCUS JOHNSON
SOUTHLAKE, TX
NPI
1164274288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 104535)
Enumeration Date
2024-04-02
Last Update Date
2024-10-27
Business Address
MARCUS JOHNSON LCSW
271 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-7049
Phone number: 972-391-8885
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Mailing Address
MARCUS JOHNSON LCSW
431 E STATE HIGHWAY 114 FL 1
SOUTHLAKE, TX 76092-4412
Phone number:
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