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1104143783
STEPHANIE VAUGHN JOHNSON
ALEXANDRIA, LA
NPI
1104143783
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Former Name
STEPHANIE DENISE VAUGHN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 7391)
Enumeration Date
2010-04-22
Last Update Date
2010-04-22
Business Address
-- STEPHANIE VAUGHN JOHNSON LCSW
2495 SHREVEPORT HWY 71 NORTH
ALEXANDRIA, LA 71306-9004
Phone number: 318-473-0010
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Mailing Address
-- STEPHANIE VAUGHN JOHNSON LCSW
711 CRAIG LOOP
ROBELINE, LA 71469-5205
Phone number: 318-472-5367
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