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1780400259
RAPHAEL DAVID JOHNSON
PORTAGE, MI
NPI
1780400259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6451024063)
Enumeration Date
2024-11-29
Last Update Date
2024-11-29
Business Address
RAPHAEL DAVID JOHNSON MA, LLC
6070 NEWPORT RD
PORTAGE, MI 49002-9234
Phone number: 269-409-3000
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Mailing Address
RAPHAEL DAVID JOHNSON MA, LLC
6070 NEWPORT RD
PORTAGE, MI 49002-9234
Phone number: 269-409-3000
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