BRIAN JOHNSON

CAMILLA, GA
NPI1093145716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-11-15
Last Update Date2013-11-15
Business Address
-- BRIAN JOHNSON BA
198 S MACARTHUR DR
CAMILLA, GA 31730-6370
Phone number: 229-336-2247
Mailing Address
-- BRIAN JOHNSON BA
198 S MACARTHUR DR
CAMILLA, GA 31730-6370
Phone number: 229-336-2247
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