DOMINIQUE JOHNSON

MANSFIELD, LA
NPI1285182626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-09-14
Last Update Date2019-08-29
Business Address
DOMINIQUE JOHNSON
809 POLK ST
MANSFIELD, LA 71052-2452
Phone number: 318-871-5566
Mailing Address
DOMINIQUE JOHNSON
PO BOX 828
MANSFIELD, LA 71052-0828
Phone number: 318-871-5566
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