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1215484332
KIRK JOHNSON
WESTAMPTON, NJ
NPI
1215484332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 2016-000209)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- KIRK JOHNSON
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-261-0705
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Mailing Address
-- KIRK JOHNSON
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number:
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