DETRICK JOHNSON

JACKSON, MS
NPI1093313660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
DETRICK JOHNSON
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
Mailing Address
DETRICK JOHNSON
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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