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1790894970
PHILLIP JOHNSON
KALAMAZOO, MI
NPI
1790894970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801059401)
Enumeration Date
2006-08-30
Last Update Date
2013-04-25
Business Address
-- PHILLIP JOHNSON LMSW
610 S BURDICK ST
KALAMAZOO, MI 49007-5221
Phone number: 269-381-3700
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Mailing Address
-- PHILLIP JOHNSON LMSW
610 S BURDICK ST
KALAMAZOO, MI 49007-5221
Phone number: 269-381-3700
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