Individual
DION JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 S 119TH DR, AVONDALE, AZ 85323-8254
(602) 525-1265
Mailing address
1409 S 119TH DR, AVONDALE, AZ 85323-8254
(602) 525-1265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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