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Individual
MR. KURT M JOHNSON
Active
Individual
MR. KURT M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.014379
IL
1041C0700X
Clinical Social Worker
Primary
4127C
AL
Other
Enumeration date
12/18/2012
Last updated
10/21/2018
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