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1225589286
MATTHEW R. JOHNSON III
SLIDELL, LA
NPI
1225589286
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Entity Type
Organization
Authorized Contact
MATTHEW R. JOHNSON
Owner
985-643-2411
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 5531)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
MATTHEW R. JOHNSON III
620 OAK HARBOR BLVD 101
SLIDELL, LA 70458-8862
Phone number: 985-643-2411
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Mailing Address
MATTHEW R. JOHNSON III
620 OAK HARBOR BLVD 101
SLIDELL, LA 70458-8862
Phone number: 985-643-2411
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