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1205280849
LATOYA JENNEL JOHNSON
MADISONVILLE, KY
NPI
1205280849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: KY LPCCCA00225610)
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
LATOYA JENNEL JOHNSON
1079 THORNBERRY DR STE D
MADISONVILLE, KY 42431-1600
Phone number: 270-874-2560
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Mailing Address
LATOYA JENNEL JOHNSON
111 MERIDIANS WAY
OAK GROVE, KY 42262-9390
Phone number: 931-802-7933
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