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1154514156
KIRA JOHNSON
JACKSON, MS
NPI
1154514156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS c6696)
Enumeration Date
2007-08-22
Last Update Date
2007-08-22
Business Address
-- KIRA JOHNSON LCSW
1703 ST CHARLES ST
JACKSON, MS 39209-5406
Phone number: 601-353-2638
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Mailing Address
-- KIRA JOHNSON LCSW
1703 ST CHARLES ST
JACKSON, MS 39209-5406
Phone number: 601-353-2638
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