DESWOOD JOHNSON

THOREAU, NM
NPI1174809669
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-10-27
Last Update Date2011-10-27
Business Address
Mr. DESWOOD JOHNSON BSW
BLDG # T004-006 05 MILES EAST OF 371
THOREAU, NM 87323
Phone number: 505-905-0062
Mailing Address
Mr. DESWOOD JOHNSON BSW
211 S FLORENCE ST TRLR 48
GALLUP, NM 87301-6763
Phone number: 505-905-0061