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1235612946
NICHOLAS JOHNSON
BOWLING GREEN, KY
NPI
1235612946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 255710)
Enumeration Date
2018-09-09
Last Update Date
2021-07-30
Business Address
NICHOLAS JOHNSON LCSW
1312 WESTEN ST
BOWLING GREEN, KY 42104-3352
Phone number: 270-784-9630
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Mailing Address
NICHOLAS JOHNSON LCSW
1312 WESTEN ST
BOWLING GREEN, KY 42104-3352
Phone number: 270-904-1072
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