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1760975486
TIMOTHY LEE JOHNSON
EBENSBURG, PA
NPI
1760975486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
TIMOTHY LEE JOHNSON BS
499 MANOR DR
EBENSBURG, PA 15931-4917
Phone number: 814-471-1801
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Mailing Address
TIMOTHY LEE JOHNSON BS
499 MANOR DR
EBENSBURG, PA 15931-4917
Phone number: 814-471-1801
Copy
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