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1700916012
JUDE EDWIN JOHNSON
CHARLOTTE, NC
NPI
1700916012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC 1166)
Enumeration Date
2007-03-06
Last Update Date
2013-12-20
Business Address
-- JUDE EDWIN JOHNSON LMFT
5700 EXECUTIVE CENTER DR STE 110
CHARLOTTE, NC 28212-8833
Phone number: 704-525-3255
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Mailing Address
-- JUDE EDWIN JOHNSON LMFT
350 PEE DEE AVE
ALBEMARLE, NC 28001-4932
Phone number: 704-986-1500
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