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Individual

MR. MARSHALL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A., M.A., LMFTA

Contact information

Practice address
1305 TACOMA AVE S, #305, TACOMA, WA 98402-1903
(253) 759-5141
Mailing address
1305 TACOMA AVE S, #305, TACOMA, WA 98402-1903
(253) 759-5141

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
MG 60266018
WA

Other

Enumeration date
09/07/2010
Last updated
07/27/2012
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