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1336706514
MATTHEW THOMAS JOHNSON
TIFFIN, IA
NPI
1336706514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 094949)
Enumeration Date
2019-05-23
Last Update Date
2025-11-17
Business Address
MATTHEW THOMAS JOHNSON
700 FOREVERGREEN RD
TIFFIN, IA 52340-4773
Phone number: 319-331-6476
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Mailing Address
MATTHEW THOMAS JOHNSON
1473 195TH AVE
OSCEOLA, IA 50213-8222
Phone number:
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