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1174976310
KENNETH L JOHNSON
PHILADELPHIA, PA
NPI
1174976310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA SW131341)
Enumeration Date
2016-07-22
Last Update Date
2016-07-22
Business Address
Mr. KENNETH L JOHNSON LSW
2305 FAIRMOUNT AVE
PHILADELPHIA, PA 19130-2515
Phone number: 267-307-2696
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Mailing Address
Mr. KENNETH L JOHNSON LSW
7804 THOURON AVE
PHILADELPHIA, PA 19150-2514
Phone number: 267-307-2696
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