Individual
MR. JEFFREY WILLIAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 HIGH STREET, WARREN, OH 44483-5195
(330) 814-2318
(330) 675-8620
Mailing address
105 HIGH ST NE, WARREN, OH 44481-1219
(330) 841-2316
(330) 675-8620
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1242264
OH
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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