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1346015070
ELIJAH JOHNSON
ANKENY, IA
NPI
1346015070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IA 120715)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
ELIJAH JOHNSON
227 NW SCHOOL ST
ANKENY, IA 50023-1746
Phone number: 515-225-4006
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Mailing Address
ELIJAH JOHNSON
706 CRESTWOOD DR
HUXLEY, IA 50124-9479
Phone number: 515-777-5818
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