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1518111442
MARK J JOHNSON
PUYALLUP, WA
NPI
1518111442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WA LW60041382)
Enumeration Date
2008-11-05
Last Update Date
2008-11-05
Business Address
MARK J JOHNSON
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-697-8548
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Mailing Address
MARK J JOHNSON
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-697-8548
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