DWIGHT JOHNSON

MILWAUKEE, WI
NPI1538464136
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15616-131)
Enumeration Date2011-01-13
Last Update Date2011-01-13
Business Address
Mr. DWIGHT JOHNSON SAC
6815 N 68TH STREET
MILWAUKEE, WI 53216
Phone number: 414-466-3204
Mailing Address
Mr. DWIGHT JOHNSON SAC
2462 N 5TH ST
MILWAUKEE, WI 53212-2704
Phone number: 414-466-3204
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