WALTER MALCOLM JOHNSON

WHITE CITY, OR
NPI1760188429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-02-03
Last Update Date2023-02-03
Business Address
WALTER MALCOLM JOHNSON
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
Mailing Address
WALTER MALCOLM JOHNSON
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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