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1215068853
SUSAN MARY JOHNSON
SPRINGFIELD, MO
NPI
1215068853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2004035687)
Enumeration Date
2007-03-07
Last Update Date
2007-07-09
Business Address
Ms. SUSAN MARY JOHNSON M.S., L.P.C.
1630 N JEFFERSON AVE
SPRINGFIELD, MO 65803-2819
Phone number: 417-837-1540
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Mailing Address
Ms. SUSAN MARY JOHNSON M.S., L.P.C.
2054 N BENTON AVE
SPRINGFIELD, MO 65803-2912
Phone number: 417-840-2395
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