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1134591282
VICTORIA JOHNSON
SHREVEPORT, LA
NPI
1134591282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-28
Last Update Date
2018-05-24
Business Address
VICTORIA JOHNSON
6801 DESPOT RD
SHREVEPORT, LA 71108
Phone number: 318-678-8840
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Mailing Address
VICTORIA JOHNSON
6801 DESPOT RD
SHREVEPORT, LA 71108-4641
Phone number: 318-678-8840
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