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1215716352
CHANTEL AMANI JOHNSON
CORALVILLE, IA
NPI
1215716352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 113998)
Enumeration Date
2023-09-27
Last Update Date
2023-09-27
Business Address
CHANTEL AMANI JOHNSON
2140 NORCOR AVE
CORALVILLE, IA 52241-9736
Phone number: 319-975-8705
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Mailing Address
CHANTEL AMANI JOHNSON
306 1ST AVE APT 306
CORALVILLE, IA 52241-2480
Phone number: 843-364-7522
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