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1225168651
MICHAEL JOHNSON
MARION, IN
NPI
1225168651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34001611A)
Enumeration Date
2007-03-06
Last Update Date
2016-06-15
Business Address
Mr. MICHAEL JOHNSON LCSW
5230 S WESTERN AVE
MARION, IN 46953-5778
Phone number: 765-674-2208
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Mailing Address
Mr. MICHAEL JOHNSON LCSW
5230 S WESTERN AVE
MARION, IN 46953-5778
Phone number: 765-674-2208
Copy
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