ETHEL JOHNSON

SHREVEPORT, LA
NPI1386191872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
-- ETHEL JOHNSON
2605 BETTY ST
SHREVEPORT, LA 71108-5553
Phone number: 318-216-3748
Mailing Address
-- ETHEL JOHNSON
2605 BETTY ST
SHREVEPORT, LA 71108-5553
Phone number: 318-216-3748
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