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1023594975
SHUNTEL RAMONA JOHNSON
BASTROP, LA
NPI
1023594975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-13
Last Update Date
2018-08-15
Business Address
SHUNTEL RAMONA JOHNSON
8891 HOLLEY FARM ROAD
BASTROP, LA 71220
Phone number: 318-737-6175
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Mailing Address
SHUNTEL RAMONA JOHNSON
8891 HOLLEY FARM RD
BASTROP, LA 71220-7374
Phone number: 318-737-6175
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