STEVEN SHANE JOHNSON

LAKE CHARLES, LA
NPI1013427491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-10-11
Last Update Date2017-10-11
Business Address
STEVEN SHANE JOHNSON
2829 4TH AVE
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
Mailing Address
STEVEN SHANE JOHNSON
2829 4TH AVE
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
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