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1053490821
ANNE JOHNSON
PONCA CITY, OK
NPI
1053490821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 3655)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
Ms. ANNE JOHNSON LPC
425 FAIRVIEW AVE
PONCA CITY, OK 74601-1902
Phone number: 580-765-3900
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Mailing Address
Ms. ANNE JOHNSON LPC
2813 GREEN MEADOW DR
PONCA CITY, OK 74604-3211
Phone number: 580-718-0334
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