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1619684412
MATTHEW B JOHNSON
SYRACUSE, NY
NPI
1619684412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
MATTHEW B JOHNSON B.S.
319 E WATER ST
SYRACUSE, NY 13202-1123
Phone number: 315-475-1771
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Mailing Address
MATTHEW B JOHNSON B.S.
2094 KYPRIOTIS DR
CORTLAND, NY 13045-9538
Phone number:
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