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1669048054
MATTHEW A JOHNSON
DAVENPORT, IA
NPI
1669048054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 095655)
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
MATTHEW A JOHNSON T-LMHC
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804-1707
Phone number: 563-383-1900
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Mailing Address
MATTHEW A JOHNSON T-LMHC
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804-1707
Phone number: 563-383-1900
Copy
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