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1356846190
CLARICE JOHNSON
SHREVEPORT, LA
NPI
1356846190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-03-26
Last Update Date
2018-07-13
Business Address
CLARICE JOHNSON
7505 PINES RD STE 1200I
SHREVEPORT, LA 71129
Phone number: 318-716-1707
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Mailing Address
CLARICE JOHNSON
6034 FOX CHASE TRL
SHREVEPORT, LA 71129-3535
Phone number:
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