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1578041919
MICHAEL BLAINE JOHNSON
BELOIT, WI
NPI
1578041919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3648-125)
Enumeration Date
2018-07-28
Last Update Date
2018-07-28
Business Address
MICHAEL BLAINE JOHNSON LPC
416 COLLEGE ST
BELOIT, WI 53511-6310
Phone number: 608-365-1244
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Mailing Address
MICHAEL BLAINE JOHNSON LPC
1822 CLEVELAND ST
BELOIT, WI 53511-2848
Phone number: 608-436-9182
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