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1669027066
JEREMIAH JOHNSON
GLENDALE, WI
NPI
1669027066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 9262-123)
Enumeration Date
2019-08-03
Last Update Date
2023-05-06
Business Address
JEREMIAH JOHNSON
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217-4908
Phone number: 715-903-6444
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Mailing Address
JEREMIAH JOHNSON
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217-4908
Phone number: 715-903-6444
Copy
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