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1245643220
SHANNON JOHNSON
LITTLE ROCK, AR
NPI
1245643220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-06-06
Last Update Date
2014-06-06
Business Address
-- SHANNON JOHNSON
6501 W 12TH ST
LITTLE ROCK, AR 72204-1511
Phone number: 501-666-8686
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Mailing Address
-- SHANNON JOHNSON
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number:
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