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Individual

MR. JAMES GRAYSON JOHNSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
4103 LONGFELLOW ST, HYATTSVILLE, MD 20781-1748
(301) 565-4157
Mailing address
4103 LONGFELLOW ST, HYATTSVILLE, MD 20781-1748
(301) 565-4157

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1657
MD

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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