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1396393021
BLAKE JEFFREY JOHNSON
CEDAR RAPIDS, IA
NPI
1396393021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IA 096592)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
BLAKE JEFFREY JOHNSON LMSW
5400 KIRKWOOD BLVD SW
CEDAR RAPIDS, IA 52404-5216
Phone number: 319-364-0259
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Mailing Address
BLAKE JEFFREY JOHNSON LMSW
5400 KIRKWOOD BLVD SW
CEDAR RAPIDS, IA 52404-5216
Phone number:
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