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1407148430
WANDA M JOHNSON
JONESBORO, AR
NPI
1407148430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2011-05-10
Last Update Date
2017-02-16
Business Address
-- WANDA M JOHNSON BS, MHPP
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
-- WANDA M JOHNSON BS, MHPP
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy
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