LASICILLIE JOHNSON

MERIDIAN, MS
NPI1134448160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  LH0938)
Enumeration Date2010-06-01
Last Update Date2010-06-01
Business Address
-- LASICILLIE JOHNSON
1415 COLLEGE DR
MERIDIAN, MS 39307-5345
Phone number: 601-483-4821
Mailing Address
-- LASICILLIE JOHNSON
1415 COLLEGE DR
MERIDIAN, MS 39307-5345
Phone number: 601-483-4821
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