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1518662394
JAKE JOHNSON
COLUMBIA, SC
NPI
1518662394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 15536)
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
JAKE JOHNSON LMSW
3809 ROSEWOOD DR
COLUMBIA, SC 29205-3533
Phone number: 803-939-2642
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Mailing Address
JAKE JOHNSON LMSW
2427 TERRACE WAY
COLUMBIA, SC 29205-2341
Phone number:
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