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Individual

MICHAEL P. JOHNSON

Active
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Individual

MICHAEL P. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.M.S.W.

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
078123
NY
1041C0700X
Clinical Social Worker
Primary
R077963
NY

Other

Enumeration date
02/19/2009
Last updated
08/27/2013
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