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1326380916
ANTOINE C JOHNSON
DECATUR, GA
NPI
1326380916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC007051)
Enumeration Date
2013-03-21
Last Update Date
2016-12-22
Business Address
ANTOINE C JOHNSON MA, LPC
4292 MEMORIAL DR STE C
DECATUR, GA 30032-1224
Phone number: 678-308-1896
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Mailing Address
ANTOINE C JOHNSON MA, LPC
4292 MEMORIAL DR STE C
DECATUR, GA 30032-1224
Phone number: 678-308-1896
Copy
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