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1407464738
LAURA ELIZABETH JOHNSON
GULFPORT, MS
NPI
1407464738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-07-22
Last Update Date
2020-07-22
Business Address
Mrs. LAURA ELIZABETH JOHNSON MS
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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Mailing Address
Mrs. LAURA ELIZABETH JOHNSON MS
1002 PINO ST
LONG BEACH, MS 39560-3807
Phone number: 228-861-0596
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