JOHNATHAN MATTHEW JOHNSON

GARY, IN
NPI1346612991
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2015-10-22
Last Update Date2024-08-04
Business Address
Dr. JOHNATHAN MATTHEW JOHNSON BA, MSPC
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
Dr. JOHNATHAN MATTHEW JOHNSON BA, MSPC
15301 S. LEXINGTON AVE.
HARVEY, IL 60426-1711
Phone number: 708-439-1832
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