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1972896702
CHARLES JOHNSON
SALT LAKE CITY, UT
NPI
1972896702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5011958-3502)
Enumeration Date
2011-05-26
Last Update Date
2011-05-26
Business Address
-- CHARLES JOHNSON CSW
740 E 3900 S # 100
SALT LAKE CITY, UT 84107-2181
Phone number: 801-313-0555
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Mailing Address
-- CHARLES JOHNSON CSW
3517 W 1500 N
WEST POINT, UT 84015-8354
Phone number: 801-336-6946
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