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1053783480
KATHARINE JOHNSON
OLIVE BRANCH, MS
NPI
1053783480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MS 2413)
Additional Taxonomies
101Y00000X Counselor
(Licence: AL 3466)
Enumeration Date
2015-10-25
Last Update Date
2024-01-10
Business Address
KATHARINE JOHNSON LPC
6952 DOGWOOD MNR N STE 101
OLIVE BRANCH, MS 38654-2091
Phone number: 662-782-6652
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Mailing Address
KATHARINE JOHNSON LPC
4828 ANTEBELLUM LN
OLIVE BRANCH, MS 38654-6575
Phone number: 256-682-9230
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