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1912356825
MATTHEW JOHNSON
MEDFORD, OR
NPI
1912356825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-10
Last Update Date
2016-10-13
Business Address
-- MATTHEW JOHNSON M.S.
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number: 541-774-8201
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Mailing Address
-- MATTHEW JOHNSON M.S.
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number: 541-774-8201
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