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1124545009
KELLY ANNE JOHNSON
LAKE CHARLES, LA
NPI
1124545009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-23
Last Update Date
2019-12-06
Business Address
KELLY ANNE JOHNSON
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
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Mailing Address
KELLY ANNE JOHNSON
430 DIXIE PLZ
NATCHITOCHES, LA 71457-5881
Phone number: 318-357-9009
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