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1992939797
PHILIP RUSSELL JOHNSON
WILMINGTON, NC
NPI
1992939797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC 12310A)
Enumeration Date
2009-05-07
Last Update Date
2021-10-29
Business Address
Mr. PHILIP RUSSELL JOHNSON LMFTA
1437 MILITARY CUTOFF RD STE 200
WILMINGTON, NC 28403-3638
Phone number: 301-471-1537
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Mailing Address
Mr. PHILIP RUSSELL JOHNSON LMFTA
6113 SAND RIDGE AVE
WILMINGTON, NC 28409-7601
Phone number: 301-471-1537
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