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1225247653
WADE W JOHNSTON
MEDFORD, NJ
NPI
1225247653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: NJ 35SI00157000)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
DR. WADE W JOHNSTON PSYD
603 EUGENIA DRIVE
MEDFORD, NJ 08055-2311
Phone number: 609-654-4455
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Mailing Address
DR. WADE W JOHNSTON PSYD
PO BOX 1331
MEDFORD, NJ 08055-6331
Phone number: 609-654-4455
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