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Individual

FRANK W JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2761
(215) 472-6093
Mailing address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2761
(215) 472-6093

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW018611
PA
104100000X
Social Worker
SW129761
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102949737
PA
Enumeration date
06/18/2012
Last updated
12/09/2015
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