REGINALD JOHNSON

MILWAUKEE, WI
NPI1831564814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16415-130)
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
-- REGINALD JOHNSON SCA-IT
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
Mailing Address
-- REGINALD JOHNSON SCA-IT
7314 W BURLEIGH ST APT 3
MILWAUKEE, WI 53210-1082
Phone number: 414-447-7208
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