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1144645763
DORETHA JOHNSON
JACKSON, TN
NPI
1144645763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TN 8927)
Enumeration Date
2014-02-19
Last Update Date
2014-03-06
Business Address
-- DORETHA JOHNSON LMSW
60 LYNOAK CV
JACKSON, TN 38305-2909
Phone number: 731-668-7593
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Mailing Address
-- DORETHA JOHNSON LMSW
60 LYNOAK CV
JACKSON, TN 38305-2909
Phone number:
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