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1912624925
JOHN WAYNE CHRISTOPHERSON
MECHANICSBURG, PA
NPI
1912624925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 5400)
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
Mr. JOHN WAYNE CHRISTOPHERSON LMSW, LSW, LCDC-i
2210 QUAIL HOLLOW DR
MECHANICSBURG, PA 17055-6078
Phone number: 845-392-0969
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Mailing Address
Mr. JOHN WAYNE CHRISTOPHERSON LMSW, LSW, LCDC-i
2210 QUAIL HOLLOW DR
MECHANICSBURG, PA 17055-6078
Phone number: 845-392-0969
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