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1417970104
HAROLD MICHAEL JOHNSON
BLOOMINGTON, IN
NPI
1417970104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002154)
Enumeration Date
2006-07-25
Last Update Date
2014-10-30
Business Address
-- HAROLD MICHAEL JOHNSON LCSW
445 S LANDMARK AVE
BLOOMINGTON, IN 47403-5004
Phone number: 812-353-3450
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Mailing Address
-- HAROLD MICHAEL JOHNSON LCSW
445 S LANDMARK AVE
BLOOMINGTON, IN 47403-5004
Phone number: 812-353-3450
Copy
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