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Individual

WILLIAM ALLEN JOHNSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, CTRS

Contact information

Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
744 TINKER CREEK RD, WILLISTON, SC 29853-5150

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
08/13/2006
Last updated
07/08/2007
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