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1275642928
MARY JOHNETT WATERMAN
SHREVEPORT, LA
NPI
1275642928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 2689)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- MARY JOHNETT WATERMAN LCSW
820 JORDAN ST SUITE 220
SHREVEPORT, LA 71101-4519
Phone number: 318-226-8753
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Mailing Address
-- MARY JOHNETT WATERMAN LCSW
820 JORDAN ST SUITE 220
SHREVEPORT, LA 71101-4519
Phone number: 318-226-8753
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