SUSAN BRAGDON JOHANSEN

MACON, GA
NPI1114014446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  003160)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
-- SUSAN BRAGDON JOHANSEN LPC
175 EMERY HIGHWAY
MACON, GA 31217
Phone number: 478-751-4446
Mailing Address
-- SUSAN BRAGDON JOHANSEN LPC
175 EMERY HIGHWAY
MACON, GA 31217
Phone number: 478-751-4446
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