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1508692120
WALTER JOHNSON
DORCHESTER, MA
NPI
1508692120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
WALTER JOHNSON
12 SOUTHERN AVE
DORCHESTER, MA 02124-2012
Phone number: 617-708-0870
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Mailing Address
WALTER JOHNSON
2627 BIBB ST
SHREVEPORT, LA 71108-2801
Phone number: 318-525-3823
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