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1184162554
MARILYN JOHNSON
SHREVEPORT, LA
NPI
1184162554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-02-06
Last Update Date
2018-05-19
Business Address
MARILYN JOHNSON MS
9245 WALLACE LAKE RD STE A
SHREVEPORT, LA 71106
Phone number: 318-510-2188
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Mailing Address
MARILYN JOHNSON MS
9245 WALLACE LAKE RD STE A
SHREVEPORT, LA 71106-7331
Phone number: 318-221-2828
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