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1124300538
THERESA DIANE JOHNSON
METAIRIE, LA
NPI
1124300538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: LA 785)
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
Dr. THERESA DIANE JOHNSON Ph.D.
3350 RIDGELAKE DR STE 100
METAIRIE, LA 70002-3829
Phone number: 504-874-3190
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Mailing Address
Dr. THERESA DIANE JOHNSON Ph.D.
3350 RIDGELAKE DR STE 100
METAIRIE, LA 70002-3829
Phone number: 504-874-3190
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