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1114561370
VIVIAN JOHNSON
SHREVEPORT, LA
NPI
1114561370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-31
Last Update Date
2019-10-31
Business Address
VIVIAN JOHNSON MS
3776 YOUREE DR
SHREVEPORT, LA 71105-2132
Phone number: 318-670-3159
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Mailing Address
VIVIAN JOHNSON MS
PO BOX 8503
SHREVEPORT, LA 71148-8503
Phone number: 281-851-7681
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