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1194250803
MYLESHA JOHNSON
ALEXANDRIA, LA
NPI
1194250803
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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
2017-05-01
Last Update Date
2018-04-26
Business Address
MYLESHA JOHNSON
217 BREVARD CT STE A
ALEXANDRIA, LA 71303-3997
Phone number: 318-445-9019
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Mailing Address
MYLESHA JOHNSON
217 BREVARD CT STE A
ALEXANDRIA, LA 71303-3997
Phone number: 318-445-9019
Copy
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