Individual
MR. CHARLES RAYMOND JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
34 BUENA VISTA AVE, PISCATAWAY, NJ 08854-4863
(732) 743-9317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00494900
NJ
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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