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1356446777
THEODORE MARTIN JOHNSON
OLYMPIA, WA
NPI
1356446777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: WA PY2977)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
DR. THEODORE MARTIN JOHNSON PH.D.
500 LILLY RD NE #205
OLYMPIA, WA 98506-5195
Phone number: 360-413-8222
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Mailing Address
DR. THEODORE MARTIN JOHNSON PH.D.
500 LILLY RD NE #205
OLYMPIA, WA 98506-5195
Phone number: 360-413-8222
Copy
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