JOHNATHAN MATTHEW JOHNSON

GARY, IN
NPI1346612991
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2015-10-22
Last Update Date2015-10-22
Business Address
-- JOHNATHAN MATTHEW JOHNSON BA, MSPC
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
-- JOHNATHAN MATTHEW JOHNSON BA, MSPC
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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