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1003344938
BEVERLY R JOHNSON
MONROE, LA
NPI
1003344938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2017-05-23
Last Update Date
2022-07-21
Business Address
BEVERLY R JOHNSON
2404 FERRAND ST STE 23
MONROE, LA 71201
Phone number: 318-323-0463
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Mailing Address
BEVERLY R JOHNSON
2404 FERRAND ST STE 23
MONROE, LA 71201-3233
Phone number: 318-323-0463
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