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Individual
MARC A JOHNSON
Active
Individual
MARC A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R041891
NY
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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