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1174691224
JONATHAN EDWARD JOHNSON
PHILADELPHIA, PA
NPI
1174691224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS22274)
Enumeration Date
2006-11-30
Last Update Date
2024-12-19
Business Address
JONATHAN EDWARD JOHNSON LCSW
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 267-639-0788
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Mailing Address
JONATHAN EDWARD JOHNSON LCSW
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 267-639-0788
Copy
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