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1093722241
LA TARA T JOHNSON
ATLANTA, GA
NPI
1093722241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW003528)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Mrs. LA TARA T JOHNSON LCSW
1299 METROPOLITAN PKWY SW
ATLANTA, GA 30310-4449
Phone number: 404-762-4111
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Mailing Address
Mrs. LA TARA T JOHNSON LCSW
3340 IMPERIAL HILL DR
SNELLVILLE, GA 30039-7119
Phone number: 770-982-3279
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