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1952774812
ARCHIE JOHNSON
MYRTLE BEACH, SC
NPI
1952774812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
102L00000X Psychoanalyst
(Licence: SC 2790)
Enumeration Date
2015-11-01
Last Update Date
2015-11-06
Business Address
Dr. ARCHIE JOHNSON PhD
1107 48TH AVE N
MYRTLE BEACH, SC 29577-5443
Phone number: 843-459-8154
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Mailing Address
Dr. ARCHIE JOHNSON PhD
1107 48TH AVE N, PKWY OFC PLAZA, SUIT 310 D
MYRTLE BEACH, SC 29577-5443
Phone number: 843-459-8154
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