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1083070916
JAMIE JOHNSON
SHREVEPORT, LA
NPI
1083070916
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Professional Name
JAMIE JOHNSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-07
Last Update Date
2016-01-07
Business Address
-- JAMIE JOHNSON
1434 HAWN AVE STE 12
SHREVEPORT, LA 71107-6508
Phone number: 318-675-0225
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Mailing Address
-- JAMIE JOHNSON
PO BOX 78776
SHREVEPORT, LA 71137-8776
Phone number: 318-675-0225
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