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1588640700
MICHAEL ANTHONY JOHNSON
BECKLEY, WV
NPI
1588640700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: WV DP00939097)
Enumeration Date
2005-12-20
Last Update Date
2011-07-07
Business Address
-- MICHAEL ANTHONY JOHNSON MSW
24 MALLARD CT
BECKLEY, WV 25801-3664
Phone number: 304-252-8409
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Mailing Address
-- MICHAEL ANTHONY JOHNSON MSW
PO BOX 1025
BECKLEY, WV 25802-1025
Phone number: 304-252-8409
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